Individual
CONNIE MARIE THORNLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17030 SE 1ST ST STE 103, VANCOUVER, WA 98684-8514
(360) 604-1226
Mailing address
12800 SE 7TH ST APT H4, VANCOUVER, WA 98683-4026
(360) 314-5029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016073
WA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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