Individual
ATHENA PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23925 225TH WAY SE, SUITE B, MAPLE VALLEY, WA 98038-5233
(425) 433-0760
Mailing address
12932 SE KENT KANGLEY RD, 438, KENT, WA 98030-7940
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023933
WA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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