Individual
DAVID RYAN WHITE
Active
Individual
DAVID RYAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222411
DEPT OF L&I
WA
01
—
2358WH
REGENCE BS
WA
01
—
3253WH
REGENCE BS
WA
01
—
8794WH
REGENCE BS
WA
01
—
8944930
L&I CRIME VICTIMS
WA
01
—
9257059
AETNA/WHOLE HEALTH
WA
Enumeration date
06/12/2007
Last updated
09/14/2007
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