Individual
ELIZABETH ANN OVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10618 SE KENT KANGLEY RD, SUITE 104, KENT, WA 98030-9048
(253) 859-5433
(253) 859-4887
Mailing address
10618 SE KENT KANGLEY RD, SUITE 104, KENT, WA 98030-9048
(253) 859-5433
(253) 859-4887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022363
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214164
DEPT OF L & I
WA
Enumeration date
11/24/2006
Last updated
10/08/2009
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