Individual
FAYTH TRAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 KENYON ST NW APT R7, OLYMPIA, WA 98502-2785
(360) 480-0708
Mailing address
300 KENYON ST NW APT R7, OLYMPIA, WA 98502-2785
(360) 480-0708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60319007
WA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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