Individual
BRIAN WILLIAM BIRD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
515 27TH AVE, SEATTLE, WA 98122-6133
(360) 756-0116
Mailing address
515 27TH AVE, SEATTLE, WA 98122-6133
(360) 756-0116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60057607
WA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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