Individual
DEIRDRE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4511 DENSMORE AVE N, SEATTLE, WA 98103-6783
(206) 387-2000
Mailing address
4511 DENSMORE AVE N, SEATTLE, WA 98103-6783
(206) 387-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005341
WA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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