Individual
ANELODY TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16807 119TH PL NE, BOTHELL, WA 98011-5462
(206) 718-7090
Mailing address
16807 119TH PL NE, BOTHELL, WA 98011-5462
(206) 718-7090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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