Individual
DMITRY EGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
606 120TH AVE NE STE 100, BELLEVUE, WA 98005-3024
(425) 688-0223
(425) 688-9323
Mailing address
15 SW EVERETT MALL WAY STE G, EVERETT, WA 98204-2715
(425) 355-5222
(425) 355-5231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61019709
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61019709
WA STATE LICENSE
WA
Enumeration date
01/14/2020
Last updated
01/14/2020
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