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Individual
TYLER D BARNES
Active
Individual
TYLER D BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60259540
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60259540
STATE LICENSE
WA
Enumeration date
12/07/2011
Last updated
12/07/2011
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