Individual
BRIAN JAMES PETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1963 BETHEL RD SE, PORT ORCHARD, WA 98366-3108
(253) 861-5297
Mailing address
15769 SUNNY COVE DR SE, OLALLA, WA 98359-9594
(253) 861-5297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60936482
WA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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