Individual
MS. ANNA LISA MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNA
Contact information
Practice address
5501 NE 109TH CT STE L, VANCOUVER, WA 98662-6174
(360) 713-8380
(360) 891-8000
Mailing address
16501 NE 15TH AVE APT 9, RIDGEFIELD, WA 98642-4205
(360) 713-8380
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60294790
WA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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