Individual
MR. BRYAN T DEFORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
650 S ORCAS ST STE 219, SEATTLE, WA 98108-2652
(206) 816-0960
(855) 272-1649
Mailing address
650 S ORCAS ST STE 219, SEATTLE, WA 98108-2652
(206) 816-0960
(855) 272-1649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60075925
WA
Other
Enumeration date
06/16/2011
Last updated
10/06/2017
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