Individual
ANDREA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1601 116TH AVE NE, STE 111, BELLEVUE, WA 98004
(425) 285-9304
(425) 996-9531
Mailing address
PO BOX 1905, BELLEVUE, WA 98009
(425) 285-9304
(425) 996-9531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60496193
WA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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