Individual
MR. DAVID ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
128 W BELL ST, SEQUIM, WA 98382-3751
(360) 670-3277
Mailing address
1112 E 5TH ST, PORT ANGELES, WA 98362-4427
(360) 670-3277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61262311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ELLIODA078JL
STATE DRIVERS LICENSE
WA
Enumeration date
01/18/2022
Last updated
05/12/2026
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