Individual
EVAN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3209 E 57TH AVE STE H, SPOKANE, WA 99223-7040
(509) 283-1417
Mailing address
1018 W 17TH AVE, SPOKANE, WA 99203-1107
(206) 853-4225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60740015
WA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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