Organization
ELITE MUSCULAR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L BANKS LMP (PRESIDENT)
(360) 693-3863
Entity
Organization
Contact information
Practice address
210 W EVERGREEN BLVD STE 500, VANCOUVER, WA 98660-3453
(360) 693-3863
(360) 693-6894
Mailing address
210 W. EVERGREEN SUITE 500, VANCOUVER, WA 98660
(360) 693-3863
(360) 693-6894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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