Individual
MRS. BRENDA JO LOUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
20833 67TH AVE W, SUITE 301, LYNNWOOD, WA 98036-7365
(425) 760-8140
Mailing address
12209 NE 148TH CT, KIRKLAND, WA 98034-4511
(509) 301-8582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60314677
WA
Other
Enumeration date
05/26/2013
Last updated
05/26/2013
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