Individual
MS. CATHY SELBY KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15205 118TH AVE NE, BOTHELL, WA 98011-4111
(425) 488-3925
Mailing address
15205 118TH AVE NE, BOTHELL, WA 98011-4111
(425) 488-3925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020251
WA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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