Individual
AMBER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2811 E 39TH AVE, SPOKANE, WA 99223-4544
(505) 629-3661
Mailing address
2811 E 39TH AVE, SPOKANE, WA 99223-4544
(505) 629-3661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60983574
WA
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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