Individual
MR. BRENT ROGER ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
2148 N 63RD ST, SEATTLE, WA 98103-5447
(206) 322-8568
Mailing address
2148 N 63RD ST, SEATTLE, WA 98103-5447
(206) 322-8568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00022833
WA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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