Individual
AMBUR ELIZABETH THOMASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13221 106TH AVENUE CT E, PUYALLUP, WA 98374-3016
(805) 798-4126
Mailing address
13221 106TH AVENUE CT E, PUYALLUP, WA 98374-3016
(805) 798-4126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60716142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47534
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
01
—
60716142
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/07/2017
Last updated
07/21/2022
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