Individual
ANDREA MISCHELLE MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16315 NE 23RD ST, VANCOUVER, WA 98684-8665
(360) 882-0767
Mailing address
2619 NE 116TH PL, VANCOUVER, WA 98684-5000
(360) 694-9520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61478829
WA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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