Individual
AMY FALGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1800 SE MILE HILL DR STE 150, PORT ORCHARD, WA 98366-3517
(360) 874-0232
Mailing address
PO BOX 692, PORT ORCHARD, WA 98366-0692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASS.MA.70023198
WA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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