Individual
MS. HOLLIE IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10700 SE 208TH ST STE 207, KENT, WA 98031-5545
(253) 854-3185
Mailing address
10700 SE 208TH ST STE 207, KENT, WA 98031-5545
(253) 854-3185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160267
DEPARTMENT OF L&I
WA
Enumeration date
12/21/2006
Last updated
07/08/2007
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