Individual
BERNADETTE T. CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
139 SW 1ST ST, STEVENSON, WA 98648-6648
(360) 635-3665
Mailing address
PO BOX 621, STEVENSON, WA 98648-0621
(360) 635-3665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60169906
WA
Other
Enumeration date
06/06/2014
Last updated
10/14/2015
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