Individual
MR. DOUGLAS RANDALL SPOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
2429 CRESTLINE DR NW, OLYMPIA, WA 98502-4325
(360) 888-3455
Mailing address
120 STATE AVE NE, #168, OLYMPIA, WA 98501-1131
(360) 888-3455
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60303779
WA
Other
Enumeration date
09/08/2013
Last updated
09/08/2013
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