Individual
BRODERICK J HUTCHINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
511 OLIVE WAY, SEATTLE, WA 98101-1713
(206) 705-1795
Mailing address
511 OLIVE WAY, SEATTLE, WA 98101-1713
(206) 705-1795
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60303821
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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