Individual
DAKOTA PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
20030 S SPANGLE CREEK RD, SPANGLE, WA 99031-9704
(509) 570-4263
Mailing address
PO BOX 146, SPANGLE, WA 99031-0146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60639494
WA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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