Individual
MS. TESSA RENEE YARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3500 NW BUCKLIN HILL RD, SUITE 100, SILVERDALE, WA 98383-8503
(360) 698-0836
Mailing address
5702 NE GAMBLEWOOD RD, SUITE 100, KINGSTON, WA 98346-9557
(360) 710-8637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60192666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289955556
AMERICAN MASSAGE THERAPY ASSOCIATION
WA
01
—
60192666
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
03/08/2011
Last updated
03/08/2011
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