Individual
AMBER THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11911 NE 132ND ST, KIRKLAND, WA 98034-2900
(425) 814-8300
Mailing address
8442 NE 141ST ST, KIRKLAND, WA 98034-5326
(425) 761-0705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60255473
WA
Other
Enumeration date
12/03/2011
Last updated
09/30/2013
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