Individual
DALLAS TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11902 97TH AVE NE, KIRKLAND, WA 98034-1882
(425) 821-4600
(425) 821-4622
Mailing address
101 HERON OAKS, ROCKPORT, TX 78382-4332
(970) 261-9112
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60827488
WA
225700000X
Massage Therapist
Primary
MT134091
TX
Other
Enumeration date
01/14/2019
Last updated
11/25/2024
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