Individual
CHARLES RYAN FETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
704 S 3RD ST., SUITE B5, RENTON, WA 98057-2553
(206) 581-6756
Mailing address
1201 THOMAS LANE, #6, RENTON, WA 98055-3536
(206) 696-3851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60306672
WA
Other
Enumeration date
12/08/2014
Last updated
05/16/2025
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