Individual
MS. PATRICIA ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LMP
Contact information
Practice address
425 PONTIUS AVE N, SUITE 100, SEATTLE, WA 98109-5474
(206) 282-1233
Mailing address
2903 NW 77TH ST, SEATTLE, WA 98117-4637
(206) 782-4319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00003167
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780671
NATA MEMBER #
—
01
—
MA00003167
MASSAGE LICENSE #
WA
Enumeration date
03/01/2007
Last updated
07/08/2007
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