Individual
ELLEN FALCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
441 WASHINGTON ST, PORT TOWNSEND, WA 98368-5739
(360) 821-9368
(360) 385-6044
Mailing address
441 WASHINGTON ST, PORT TOWNSEND, WA 98368-5739
(360) 821-9368
(360) 385-6044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022097
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00022097
STATE OF WASHINGTON
WA
Enumeration date
01/26/2008
Last updated
05/03/2016
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