Individual
BRANDEY VICKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
33650 6TH AVE S, SUITE 100, FEDERAL WAY, WA 98003-3307
(253) 942-3303
Mailing address
28640 27TH PL S, FEDERAL WAY, WA 98003-3307
(509) 885-6892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60484302
WA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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