Individual
MR. GLEN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1217 4TH AVE E, SUITE 200, OLYMPIA, WA 98506-4246
(360) 570-8151
(360) 943-6602
Mailing address
607 TURNER ST NE, OLYMPIA, WA 98506-4665
(360) 943-5140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014743
WA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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