Individual
MR. BRUCE D. MILLSAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
24160 NE STATE ROUTE 3, BELFAIR, WA 98528
(360) 205-3085
(360) 275-2007
Mailing address
P.O. BOX 1300, BELFAIR, WA 98528
(360) 205-3085
(360) 275-2007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60127269
WA
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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