Individual
AMY PENASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2355 GRIFFIN AVE STE A, ENUMCLAW, WA 98022-2440
(970) 393-3951
Mailing address
1268 DIVISION ST, ENUMCLAW, WA 98022-2631
(970) 393-3951
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60929593
WA
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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