Individual
BERNADETTE BODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1900 NE 162ND AVE, SUITE D-103, VANCOUVER, WA 98684-3017
(360) 944-4437
(360) 944-3925
Mailing address
1900 NE 162ND AVE, SUITE D-103, VANCOUVER, WA 98684-3017
(360) 944-4437
(360) 944-3925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60219033
WA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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