Individual
AUDRA K SANDERHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
760 N 34TH ST, SEATTLE, WA 98103-8801
(206) 200-2888
(206) 706-4994
Mailing address
760 N 34TH ST, SEATTLE, WA 98103-8801
(206) 200-2888
(206) 706-4994
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209301
L & I PROVIDER #
WA
Enumeration date
08/31/2006
Last updated
11/29/2010
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