Individual
DEVON L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
33400 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 838-6070
Mailing address
1202 N PEARL ST, APT E203, TACOMA, WA 98406-7900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020453
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216523
LABOR AND INDUSTRIES
WA
Enumeration date
01/26/2007
Last updated
07/08/2007
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