Individual
BRYAN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15503 18TH AVE W APT 1A, LYNNWOOD, WA 98087-6082
(425) 765-1572
Mailing address
14405 NE 20TH ST # 1, BELLEVUE, WA 98007-3710
(425) 641-2527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024469
WA
Other
Enumeration date
01/08/2008
Last updated
03/20/2009
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