Individual
BETHANY DAWN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16923 96TH AVE NE, BOTHELL, WA 98011-1937
(425) 485-7507
(425) 483-7332
Mailing address
16923 96TH AVE NE, BOTHELL, WA 98011-1937
(425) 485-7507
(425) 483-7332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00008922
STATE LICENSE
WA
Enumeration date
02/11/2008
Last updated
02/11/2008
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