Individual
MRS. BETSY KATRINA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9776 HOLMAN RD NW, #109, SEATTLE, WA 98117-2000
(206) 782-8800
Mailing address
9776 HOLMAN RD NW, 109, SEATTLE, WA 98117-2000
(206) 782-8800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021204
WA
Other
Enumeration date
03/15/2007
Last updated
06/21/2012
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