Individual
ELTON RAY BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
7700 PIONEER WAY, SUITE 101, GIG HARBOR, WA 98335-1156
(253) 509-0258
Mailing address
7700 PIONEER WAY, SUITE 101, GIG HARBOR, WA 98335-1156
(253) 509-0258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60493610
WA
Other
Enumeration date
08/18/2014
Last updated
12/10/2015
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