Individual
MR. ANDREW JOSEPH WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
11911 NE 132ND ST STE 101, KIRKLAND, WA 98034-2900
(425) 814-8300
Mailing address
2406 E PINE ST, SEATTLE, WA 98122-3042
(206) 714-9426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024061
WA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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