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Individual

MS. HEIDY MASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA, LMP

Contact information

Practice address
1615 S 325TH ST, FEDERAL WAY, WA 98003-6009
(253) 661-0041
Mailing address
4325 E B ST, TACOMA, WA 98404-1438

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
225700000X
Massage Therapist
MA60019060
WA

Other

Enumeration date
08/21/2006
Last updated
07/17/2008
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