Individual
EMILY ROSE BRANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9327 4TH ST NE STE 6, LAKE STEVENS, WA 98258-1630
(425) 344-9563
Mailing address
15208 10TH DR NW, MARYSVILLE, WA 98271-8151
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60887838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60887838
N/A
WA
Enumeration date
04/25/2019
Last updated
04/25/2019
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