Individual
COREY LEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
835 E COLONIAL AVE, MOSES LAKE, WA 98837-4617
(509) 764-6777
Mailing address
7900 DAHL RD NE, MOSES LAKE, WA 98837-9229
(509) 431-4806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61016955
WA
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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