Individual
AMY IVERY WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10522 LAKE CITY WAY NE, SUITE 101, SEATTLE, WA 98125-7765
(206) 349-9198
Mailing address
7942 28TH AVE SW, SEATTLE, WA 98126-3518
(206) 349-9198
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00005860
WA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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