Individual
AMBER ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
12433 LA FRANCE RD SW, OLYMPIA, WA 98512-9254
(360) 870-8600
Mailing address
12433 LA FRANCE RD SW, OLYMPIA, WA 98512-9254
(360) 870-8600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60261642
WA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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