Individual
GILBERT P SIMON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
33650 6TH AVE S STE 100, FEDERAL WAY, WA 98003-6754
(253) 942-3303
Mailing address
6223 62ND AVE W, UNIVERSITY PLACE, WA 98467-4942
(253) 278-1947
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60947905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
06/26/2019
Last updated
06/26/2019
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