Individual
GREG S COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
2420 S. UNION AVE, STE 230, TACOMA, WA 98405
(253) 759-1500
(253) 759-4172
Mailing address
2420 S UNION AVE, STE 230, TACOMA, WA 98405-1322
(253) 759-1500
(253) 759-4172
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247513
L&I
WA
01
—
8929924
STATE CRIME VICTIMS
WA
Enumeration date
08/05/2006
Last updated
01/03/2012
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