Individual
DWIGHT HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2902 164TH STREET SW, SUITE D1, LYNNWOOD, WA 98087
(720) 635-6664
Mailing address
3715 196TH ST SW UNIT 2488, LYNNWOOD, WA 98036-3219
(720) 635-6664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60926125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60926125
MASSAGE THERAPIST
WA
Enumeration date
05/02/2019
Last updated
05/02/2019
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