Individual
ASHLEY A BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 S PARK ST, DEER PARK, WA 99006-7025
(509) 991-2914
Mailing address
707 S PARK ST, DEER PARK, WA 99006-7025
(509) 991-2914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61313672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61313672
MASSAGE THERAPY
WA
Enumeration date
07/25/2022
Last updated
07/25/2022
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