Individual
MR. BRIAN JAMES WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1611 116TH AVE NE, 200, BELLEVUE, WA 98004-3045
(425) 455-0088
(425) 455-0340
Mailing address
1855 TROSSACHS BLVD SE, 2704, SAMMAMISH, WA 98075-5946
(425) 241-2638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60503846
WA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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