Individual
COURTNEY C FORTHUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 MAIN STREET, BUCKLEY, WA 98321
(253) 350-6673
Mailing address
457 FARRELLY ST, ENUMCLAW, WA 98022-8437
(253) 350-6673
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60397098
WA
Other
Enumeration date
07/08/2013
Last updated
11/14/2018
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