Individual
MS. COLLEEN R MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18021 NE 105TH CT, BATTLE GROUND, WA 98604-6107
(360) 910-9697
Mailing address
18021 N.E. 105TH CT., BATTLE GROUND, WA 98604
(360) 910-9697
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00022050
MASSAGE THERAPIST
WA
Enumeration date
10/29/2007
Last updated
10/29/2007
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