Individual
BRENDA JOANNE WITHEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(425) 771-5166
Mailing address
3011A 132ND ST SE, EVERETT, WA 98208-6136
(425) 337-1218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60227121
WA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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