Individual
CATHRYN MARIE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9416 271ST ST NW, STANWOOD, WA 98292-8094
(360) 629-9190
Mailing address
27828 84TH AVE NW, STANWOOD, WA 98292-9514
(360) 629-9190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007716
WA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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