Individual
ESSIE STOUFFER HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
503 1ST ST S, YELM, WA 98597-7634
(425) 310-2441
Mailing address
1704 88TH AVE SW, OLYMPIA, WA 98512-7620
(425) 310-2441
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012579
WA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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