Individual
EDWARD H HULBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP-C
Contact information
Practice address
413 BATES ST SE, TUMWATER, WA 98501-4055
(360) 956-0599
(360) 705-2708
Mailing address
413 BATES ST SE, TUMWATER, WA 98501-4055
(360) 956-0599
(360) 705-2708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004648
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060005
DEPT OF L & I
WA
Enumeration date
05/14/2008
Last updated
05/14/2008
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