Individual
MRS. BRANDIE MARIE PETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1105 N LINCOLN ST, SPOKANE, WA 99201-2138
(509) 252-9890
Mailing address
1105 N LINCOLN ST, SPOKANE, WA 99201-2138
(509) 252-9890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60026380
WA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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