Individual
CHARLIE ALEXANDER FADNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2656 SW ROXBURY ST, SEATTLE, WA 98126-4177
(206) 937-2000
Mailing address
2207 22ND AVE SOUTH, SEATTLE, WA 98144
(206) 372-6855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60397088
WA
Other
Enumeration date
08/29/2013
Last updated
03/14/2014
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