Individual
BETTY BERKHOUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
800 W 1ST ST, NEWPORT, WA 99156-9035
(509) 671-2044
Mailing address
PO BOX 649, NEWPORT, WA 99156-0649
(509) 671-2044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017094
WA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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