Individual
MRS. BERNADETTE M. TAISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
635 S.W. 154TH STREET, BURIEN, WA 98166-0174
(206) 246-8355
(206) 244-7799
Mailing address
PO BOX 66174, BURIEN, WA 98166-0174
(206) 246-8355
(206) 244-7799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004112
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31194
LABOR & INDUSTRIES
WA
Enumeration date
10/22/2007
Last updated
10/22/2007
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