Individual
ANDREA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1233 LAWRENCE ST, SUITE 201, PORT TOWNSEND, WA 98368-6554
(541) 415-5352
Mailing address
5510 JACKMAN ST, PORT TOWNSEND, WA 98368-1210
(541) 415-5352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60696016
WA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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