Individual
DANIEL MCCLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5050 WA-303 A101, BREMERTON, WA 98311
(360) 627-7408
Mailing address
PO BOX 6602, SILVERDALE, WA 98315-6602
(503) 999-3868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60925309
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60925309
LMT
WA
Enumeration date
04/08/2019
Last updated
04/08/2019
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