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Organization
M IS FOR MASSAGE, PLLC
Active
Organization
M IS FOR MASSAGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY ALAN VERMILLION LMP (MEMBER)
(206) 819-9664
Entity
Organization
Contact information
Practice address
2119 17TH AVENUE SOUTH, SEATTLE, WA 98144-4313
(206) 819-9664
Mailing address
4715 S HUDSON ST., SEATTLE, WA 98118-2076
(206) 819-9664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#MA60069631
WA
225700000X
Massage Therapist
#MA60089955
WA
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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