Individual
ELIZABETH I ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
32030 23RD AVE S, FEDERAL WAY, WA 98003-6031
(253) 946-4852
(253) 946-4862
Mailing address
PO BOX 731269, PUYALLUP, WA 98373-0060
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176708
DEPT OF L&I
WA
01
—
5852AL
REGENCE B/S
WA
01
—
8931143
CRIME VICTIMS
WA
Enumeration date
08/31/2005
Last updated
07/08/2007
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