Individual
CINDY J TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
863 CARLSBORG RD STE C, SEQUIM, WA 98382-6962
(360) 808-0950
Mailing address
PO BOX 886, CARLSBORG, WA 98324-0886
(360) 808-0950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00018416
LICENSE MASSAGE PRACTIONE
WA
Enumeration date
05/15/2007
Last updated
07/08/2007
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