Individual
ELLEN FORGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5807 219TH ST SW, MOUNTLAKE TERRACE, WA 98043-3133
(206) 696-4806
Mailing address
5807 219TH ST SW, MOUNTLAKE TERRACE, WA 98043-3133
(206) 696-4806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005306
WA
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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