Individual
MR. CAMERON COZART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
8025 12TH AVE NE, SEATTLE, WA 98115-4322
(425) 770-4194
Mailing address
8025 12TH AVE NE, SEATTLE, WA 98115-4322
(425) 770-4194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60126504
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60126504
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/09/2010
Last updated
03/20/2012
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