Individual
AMANDA MAE CROSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4720 YELM HWY SE, OLYMPIA, WA 98503-4986
(360) 491-4359
Mailing address
4720 YELM HWY SE, OLYMPIA, WA 98503-4986
(360) 491-4359
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
MA00021275
WA
225700000X
Massage Therapist
Primary
MA00021275
WA
Other
Enumeration date
09/15/2011
Last updated
12/05/2022
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