Individual
EARLE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 103RD AVE NE, BELLEVUE, WA 98004-5689
(425) 451-1171
Mailing address
20321 22ND AVE E, SPANAWAY, WA 98387-7201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00013155
WA
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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