Individual
ERICA CHENELLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31955 SR 20, OAK HARBOR, WA 98277
(360) 679-8600
(360) 679-8554
Mailing address
1136 DONALD AVE, OAK HARBOR, WA 98277-8228
(541) 761-7698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
17625
OR
225700000X
Massage Therapist
Primary
61029009
WA
Other
Enumeration date
08/01/2012
Last updated
01/29/2020
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