Individual
FELICIA POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
288 E JEWETT BLVD STE 900, WHITE SALMON, WA 98672-3000
(541) 490-7693
Mailing address
PO BOX 717, BINGEN, WA 98605-0717
(541) 490-7693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60872392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA-60872392
LICENSED MASSAGE THERAPIST
WA
Enumeration date
06/13/2017
Last updated
01/04/2025
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