Individual
AIDIN DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13800 NE 20TH AVE, VANCOUVER, WA 98686-2704
(360) 574-5944
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61152928
WA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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