Organization
LAKE WASHINGTON MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BROOKS (OWNER)
(425) 882-9065
Entity
Organization
Contact information
Practice address
15965 NE 85TH ST, SUITE 102, REDMOND, WA 98052-3593
(425) 882-9065
Mailing address
15965 NE 85TH ST, SUITE 102, REDMOND, WA 98052-3593
(425) 882-9065
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA60606643
WA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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