Individual
ANDREW C HETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
8909 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-3101
(253) 584-1144
Mailing address
5338 BEVERLY DR NE, OLYMPIA, WA 98516-2218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60072934
WA
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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