Individual
ARIEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11012 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1332
(253) 584-0183
Mailing address
11012 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1332
(253) 584-0183
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60340114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312877
L&I
WA
01
—
MA60340114
WA STATE DEPT. HEALTH
WA
Enumeration date
07/15/2013
Last updated
02/10/2020
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