Individual
ERIC WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
11815 NE HIGHWAY 99, SUITE A, VANCOUVER, WA 98686-4008
(360) 546-0979
Mailing address
334 ORCA RD, WOODLAND, WA 98674-8126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15331
WA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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