Individual
MRS. BETTY LOU LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10030 15TH AVE SW, SEATTLE, WA 98146
(206) 763-7464
(206) 763-8263
Mailing address
10030 15TH AVE SW, SEATTLE, WA 98146
(206) 763-7464
(206) 763-8263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0345251
LABOR AND INDUSTRY
WA
Enumeration date
09/01/2016
Last updated
09/01/2016
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