Individual
MATTHEW PERRELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA60247265
WA
225700000X
Massage Therapist
Primary
MA60247265
WA
Other
Enumeration date
11/03/2011
Last updated
09/24/2013
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