Individual
ANNELISE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
32105 39TH AVE S, FEDERAL WAY, WA 98001-9649
(724) 766-5223
Mailing address
32105 39TH AVE S, FEDERAL WAY, WA 98001-9649
(724) 766-5223
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60363727
WA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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