Individual
AMY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5056 1/2 MLK JR WAY S, SEATTLE, WA 98118-1913
(971) 241-1668
Mailing address
5056 1/2 MLK JR WAY S, SEATTLE, WA 98118-1913
(971) 241-1668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60811212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60811212
LICENSED MASSAGE THERAPY
WA
Enumeration date
01/18/2018
Last updated
01/18/2018
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