Individual
ASHLEY LEE-ANN DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10311 NE 141ST ST, BOTHELL, WA 98011-5216
(425) 765-4457
Mailing address
10311 NE 141ST ST, BOTHELL, WA 98011-5216
(425) 765-4457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60103799
WA
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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