Individual
BAO THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
917 NE 192ND AVE, VANCOUVER, WA 98684
(360) 896-6037
(360) 944-0144
Mailing address
5501 NE 55TH ST, VANCOUVER, WA 98661-2168
(360) 566-7133
(360) 944-0144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60578261
WA
Other
Enumeration date
08/18/2015
Last updated
10/10/2018
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