Individual
CODY CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
87 KEENE RD, RICHLAND, WA 99352
(509) 380-2552
Mailing address
87 KEENE RD, RICHLAND, WA 99352
(509) 380-2552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60269343
WA
Other
Enumeration date
01/13/2015
Last updated
09/01/2015
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