Individual
ELISABETH R OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4514 THACKERAY PL NE, SEATTLE, WA 98105-4842
(503) 764-6841
Mailing address
4514 THACKERAY PL NE, SEATTLE, WA 98105-4842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024883
WA
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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