Individual
ALEX WILLIAM GUISEWITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
12 BELLWETHER WAY, SUITE 201, BELLINGHAM, WA 98225-2959
(360) 366-4216
Mailing address
1497 CRESTVIEW RD, FERNDALE, WA 98248-9716
(360) 384-0709
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60695532
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60695532
WA STATE LMP LICENSE
WA
Enumeration date
01/05/2017
Last updated
01/05/2017
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