Individual
EMILY EMETT PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6716 EASTSIDE DR NE, #6, TACOMA, WA 98422-1147
(206) 409-0270
Mailing address
5419 S 336TH ST, AUBURN, WA 98001-9718
(206) 409-0270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA60191846
WA
225700000X
Massage Therapist
Primary
MA60191846
WA
Other
Enumeration date
11/10/2010
Last updated
10/10/2011
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