Individual
MS. NANCY KATHRYNN BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
423 W 3RD AVE, SUITE B, MOSES LAKE, WA 98837-3837
(509) 764-9018
Mailing address
1115 W IVY AVE, MOSES LAKE, WA 98837-2050
(509) 765-4612
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00010288
WA
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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