Individual
MRS. EMILY DELENE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7300 174TH ST SW, EDMONDS, WA 98026-5125
(206) 914-3570
Mailing address
7300 174TH ST SW, EDMONDS, WA 98026-5125
(206) 914-3570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00013774
WA
225700000X
Massage Therapist
Primary
MAOOO13774
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152614
LABOR AND INDUSTRIES
WA
01
—
104659
AMTA
WA
01
—
MAOOO13774
MASSAGE LICENSE
WA
Enumeration date
03/28/2007
Last updated
07/08/2007
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