Individual
MARISSA MAE BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
901 RAINIER AVE S, SEATTLE, WA 98144-2839
(206) 470-3856
Mailing address
42983 SE 170TH CT, NORTH BEND, WA 98045-9643
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
02/25/2019
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