Individual
DEBRA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1815 HUDSON ST, LONGVIEW, WA 98632-2913
(360) 636-2636
(360) 636-2621
Mailing address
1815 HUDSON ST, LONGVIEW, WA 98632-2913
(360) 636-2636
(360) 636-2621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60171550
WA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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