Individual
ANDREA MARIE INDGJERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2027 W INDIANA AVE, SPOKANE, WA 99205-4142
(509) 624-5973
(509) 315-4077
Mailing address
2027 W INDIANA AVE, SPOKANE, WA 99205-4142
(509) 624-5973
(509) 315-4077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010701
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201940
LABOR AND INDUSTRIES
WA
01
—
6565MA
ASURIS-REGENCE
WA
Enumeration date
11/30/2006
Last updated
11/19/2014
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