Individual
DAVIDA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1111 16TH AVE E, SEATTLE, WA 98112-3310
(206) 920-2242
Mailing address
1111 16TH AVE E, SEATTLE, WA 98112-3310
(206) 920-2242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60334944
WA
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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