Individual
DANIELLE TELAN SCROGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
14803 15TH AVE NE # 101, SHORELINE, WA 98155-7125
(206) 861-3243
(206) 299-3317
Mailing address
14803 15TH AVE NE # 101, SHORELINE, WA 98155-7125
(206) 861-3243
(206) 299-3317
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00023828
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226043
LABOR AND INDUSTRIES
WA
Enumeration date
03/10/2008
Last updated
03/10/2008
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