Individual
TERESA ANTOINETTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, LMP
Contact information
Practice address
6603 220TH ST. SW SUITE 100, MOUNTLAKE TERRACE, WA 98043
(425) 670-2600
(425) 778-7073
Mailing address
6603 220TH ST SW SUITE 100, MOUNTLAKE TERRACE, WA 98043-2187
(425) 670-2600
(425) 778-7073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60566686
WA
225700000X
Massage Therapist
MA 60256871
WA
Other
Enumeration date
03/10/2015
Last updated
01/08/2016
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