Individual
CAILEY BEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11314 4TH AVE W # SET103, EVERETT, WA 98204-6926
(425) 902-4996
Mailing address
11314 4TH AVE W STE 103, EVERETT, WA 98204-6926
(425) 902-4996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60678968
WA
Other
Enumeration date
03/12/2017
Last updated
09/13/2022
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