Individual
MRS. ANN ELIZABETH GARDNER
Active
Individual
MRS. ANN ELIZABETH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15540
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152422
L&I NUMBER
WA
01
—
MA15540
MASSAGE LICENSE #
WA
Enumeration date
05/22/2007
Last updated
05/14/2024
Update your record
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