Individual
MR. COREY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
9218 FAUNTLEROY WAY SW, SEATTLE, WA 98136-2619
(206) 972-5311
Mailing address
9218 FAUNTLEROY WAY SW, SEATTLE, WA 98136-2619
(206) 972-5311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60284575
WA
Other
Enumeration date
05/19/2012
Last updated
05/19/2012
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