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Individual

MRS. DENISE M MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNMT LMP

Contact information

Practice address
17715 27TH ST KPS, LAKEBAY, WA 98349
(253) 606-8468
Mailing address
POB 195, LAKEBAY, WA 98349
(253) 606-8468

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00006148
WA
172M00000X
Mechanotherapist
MA00006909
FL

Other

Enumeration date
10/07/2010
Last updated
10/07/2010
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