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Individual

EMILY BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161191849
WA
225700000X
Massage Therapist
MA60746180
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P161191849
STATE PTA LICENSE
WA
Enumeration date
11/07/2017
Last updated
03/07/2023
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