Individual
MS. AUTUMN RENEE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7815 GREENWOOD AVE N, SEATTLE, WA 98103-4633
(206) 789-5704
(206) 782-6432
Mailing address
7815 GREENWOOD AVE N, SEATTLE, WA 98103-4633
(206) 789-5704
(206) 782-6432
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60040836
WA
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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