Individual
COLIN BROADWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2719 E MADISON ST, SUITE 203, SEATTLE, WA 98112-4752
(206) 568-7545
Mailing address
2719 E MADISON ST, SUITE 203, SEATTLE, WA 98112-4752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00025095
WA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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