Individual
MISS ASHLEY BOLLENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
19102 NORTH CREEK PARKWAY, SUITE 104, BOTHELL, WA 98011
(425) 486-6079
Mailing address
15420 36TH AVE SE, BOTHELL, WA 98012
(206) 849-2616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022368
WA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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