Individual
ASHLEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2611 N STEVENS ST, TACOMA, WA 98407-4670
(253) 759-1500
Mailing address
915 LEGION WAY SE, OLYMPIA, WA 98501-1520
(360) 878-0977
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60769470
WA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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