Individual
ANDRIK LEVI KETERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3305 MAIN ST STE 107, VANCOUVER, WA 98663-2234
(360) 798-6204
Mailing address
300 E 24TH ST, VANCOUVER, WA 98663-3214
(360) 798-6204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61298161
WA
Other
Enumeration date
10/25/2022
Last updated
02/08/2025
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