Individual
ANTHONY LOUIS MAVROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPM, MMP, NCTM
Contact information
Practice address
14500 JUANITA DR NE, KENMORE, WA 98028-4966
(425) 205-9893
Mailing address
7322 NE 140TH PL, BOTHELL, WA 98011-5306
(425) 205-9893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023180
WA
Other
Enumeration date
03/31/2009
Last updated
07/13/2009
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