Individual
DEVIN HORMANN-RIVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCST, LMT
Contact information
Practice address
221 NW 100TH ST, SEATTLE, WA 98177-4909
(808) 315-1512
Mailing address
221 NW 100TH ST, SEATTLE, WA 98177-4909
(808) 315-1512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61001181
WA
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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