Individual
STACEY WELDON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7109 29TH AVE SW, SEATTLE, WA 98126
(206) 437-7950
Mailing address
7109 29TH AVE SW, SEATTLE, WA 98126
(206) 437-7950
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA0006065
WA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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