Individual
ANN MCNAMARA-THULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4026 PACIFIC AVE, TACOMA, WA 98418-7830
(253) 278-3615
(253) 473-3807
Mailing address
1614 154TH ST E, TACOMA, WA 98445-2443
(253) 278-3615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00021738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252125
LABOR AND INDUSTRY
WA
Enumeration date
11/18/2009
Last updated
11/18/2009
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