Individual
MRS. AMANDA RYAN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
17908 15TH AVE NE, SHORELINE, WA 98155-3856
(206) 861-3243
Mailing address
17908 15TH AVE NE, SHORELINE, WA 98155-3856
(206) 861-3243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60390924
WA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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