Individual
ELISE BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB, LMP
Contact information
Practice address
4441 PARADISE AVE W, BASEMENT, UNIVERSITY PLACE, WA 98466-1023
(253) 241-5034
Mailing address
3907 78TH AVENUE CT W, #D104, UNIVERSITY PLACE, WA 98466-3264
(253) 241-5034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60156491
WA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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