Individual
AMANDA KRISTINE TICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
600 UNIVERSITY ST, #818, SEATTLE, WA 98101-1176
(206) 957-3336
(206) 957-1349
Mailing address
PO BOX 2170, SUMNER, WA 98390-0480
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60194203
WA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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