Individual
AMY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
811 NE 112TH AVE, VANCOUVER, WA 98684-5115
(360) 892-2226
Mailing address
1011 NE 127TH AVE, VANCOUVER, WA 98684-5727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61540896
WA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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