Individual
DIANA SUE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
7517 CUSTER RD W, LAKEWOOD, WA 98499-8138
(360) 481-2347
Mailing address
PO BOX 755, YELM, WA 98597
(360) 481-2347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017903
WA
Other
Enumeration date
06/03/2006
Last updated
04/11/2024
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