Individual
GAVIN J ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LMT
Contact information
Practice address
6307 CALIFORNIA AVE SW, SEATTLE, WA 98136-1892
(206) 902-7608
Mailing address
7726 13TH AVE SW, SEATTLE, WA 98106-2033
(425) 736-9095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61585576
WA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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