Individual
DEANNA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15436 BEL RED RD, REDMOND, WA 98052-5536
(425) 274-3430
Mailing address
12202 NE 149TH PL, KIRKLAND, WA 98034-1101
(425) 351-0889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60689802
WA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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