Individual
EMILY CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4520 INTELCO LOOP SE BLDG 3, LACEY, WA 98503-6008
(360) 972-2524
Mailing address
7140 FAIR OAKS LOOP SE, OLYMPIA, WA 98513-5177
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61083474
WA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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