Individual
BRYNN MARIE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4820 BURKE AVE N, SEATTLE, WA 98103-6832
(206) 218-3545
Mailing address
4820 BURKE AVE N, SEATTLE, WA 98103-6832
(206) 218-3545
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60127466
WA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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