Individual
DEBORAH COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16715 NE 79TH ST, REDMOND, WA 98052-4425
(425) 445-6836
Mailing address
21060 NE 91ST ST, REDMOND, WA 98053-7616
(425) 445-6836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00018134
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 00018134
MASSAGE PRACTIONER LICENSE
WA
Enumeration date
02/04/2011
Last updated
02/04/2011
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