Individual
MS. ANITA M SANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3507 NE SUNSET BLVD, ACTIVE CHIROPRACTIC INC, KENTON, WA 98056
(425) 277-0222
(425) 277-0246
Mailing address
3507 NE SUNSET BLVD, KENTON, WA 98056
(425) 277-0222
(425) 277-0246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157880
LABOR & INDUSTRIES WORKER
WA
Enumeration date
11/17/2006
Last updated
07/08/2007
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