Organization
GATEWAY THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA ANDRE'A ANDERSON LMP (OWNER)
(360) 457-7374
Entity
Organization
Contact information
Practice address
118 N LIBERTY ST, STE A, PORT ANGELES, WA 98362-4322
(360) 457-7374
(360) 457-8717
Mailing address
118 N LIBERTY ST, STE A, PORT ANGELES, WA 98362-4322
(360) 457-7374
(360) 457-8717
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AC 00002207
WA
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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