Individual
ERIC R THANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
19611 7TH AVE NE, POULSBO, WA 98370-7384
(360) 779-3285
Mailing address
PO BOX 10162, BAINBRIDGE ISLAND, WA 98110-0162
(360) 440-3555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA22333
WA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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