Individual
BROOKE E RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
309 4TH AVE E, OLYMPIA, WA 98501-1106
(870) 761-2255
Mailing address
4504 GOLDCREST DR NW, OLYMPIA, WA 98502-9019
(870) 761-2255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61006033
WA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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