Individual
ANTHONY DAVID MAINE ROUWHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
101 E HASTINGS RD, SPOKANE, WA 99218-4901
(509) 283-1477
Mailing address
PO BOX 826, CHATTAROY, WA 99003-0826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61478540
WA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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