Individual
MS. CHRISTINE LOUISE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7914 MARTIN WAY E, STE 8, OLYMPIA, WA 98516-5728
(360) 339-7177
Mailing address
2567 25TH LOOP SE, LACEY, WA 98503-3812
(360) 791-7008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60181438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272790
STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
10/13/2011
Last updated
10/13/2011
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