Individual
ELIZABETH A GREEN-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
204 PINEHURST DR SW, 103, TUMWATER, WA 98501-4500
(360) 352-8112
Mailing address
204 PINEHURST DR SW, 103, TUMWATER, WA 98501-4500
(360) 352-8112
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00019378
WA
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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