Individual
MR. CHARLES ALLEN UPMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
16240 NE 14TH ST, C-11, BELLEVUE, WA 98008-2870
(425) 765-1370
Mailing address
16240 NE 14TH ST, C-11, BELLEVUE, WA 98008-2870
(425) 765-1370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60146621
WA
Other
Enumeration date
04/24/2010
Last updated
04/24/2010
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