Individual
ADRIENNE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5600 PACIFIC AVE SE, LACEY, WA 98503-1258
(360) 493-2000
Mailing address
5600 PACIFIC AVE SE, LACEY, WA 98503-1258
(360) 493-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60779411
WA
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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