Individual
ASHLEY N POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
215 WHITE SELL STE C-102, ORTING, WA 98360
(360) 893-5300
Mailing address
PO BOX 1414, ORTING, WA 98360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60335706
WA
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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