Individual
CHRIS GAYLIN FICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
2316 EASTGATE ST STE 110, WALLA WALLA, WA 99362-1576
(509) 529-5532
(509) 522-4567
Mailing address
2352 HAWK DR, WALLA WALLA, WA 99362-2673
(509) 529-5532
(509) 522-4567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015437
WA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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