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Individual

DANIEL REVETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4010 STONE WAY N, SEATTLE, WA 98103-8099
(602) 672-6596
Mailing address
7001 SEAVIEW AVE NW STE 160, #1003, SEATTLE, WA 98117

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60792974
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA60792974
MASSAGE LICNESE
WA
Enumeration date
09/29/2017
Last updated
10/24/2022
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