Individual
MARLENE RENEE' SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
933 W. 3RD AVE SUITE 214, SPOKANE, WA 99201
(509) 230-2112
(509) 747-5443
Mailing address
933 W. 3RD AVE. SUITE 214, SPOKANE, WA 99201
(509) 230-2112
(509) 747-5443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118072
LABOR & INDUSTRIES
WA
01
—
MA00011043
MASSAGE THERAPIST
WA
Enumeration date
01/03/2007
Last updated
07/16/2013
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