Individual
MS. AMITA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
509 OLIVE WAY, SUITE 620, SEATTLE, WA 98101-1720
(206) 343-3325
(206) 838-7330
Mailing address
702 NW 73RD ST, SEATTLE, WA 98117-4953
(206) 353-4439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60141287
WA
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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