Individual
CYNTHIA D DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
130 MARVIN RD SE, SUITE 203, LACEY, WA 98503-6100
(360) 456-3300
(360) 456-6060
Mailing address
PO BOX 731269, PUYALLUP, WA 98373-0060
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020331
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154251
DEPT OF LABOR & INDUSTRY
WA
01
—
8702DE
REGENCE BLUE SHIELD
WA
01
—
8903883
CRIME VICTIMS
WA
Enumeration date
10/26/2006
Last updated
07/08/2007
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