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Individual

MICHAEL COFFEY

Active
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Individual

MICHAEL COFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP, LMT

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
22314
OR
172M00000X
Mechanotherapist
60632491
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22314
LICENSED MASSAGE THERAPIST
OR
01
60632491
LICENSED MASSAGE PRACTITIONER
WA
Enumeration date
07/21/2016
Last updated
07/21/2016
Update your record

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