Individual
GREGORY FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
918 S HORTON ST, UNIT 915, SEATTLE, WA 98134-1952
(206) 931-3675
Mailing address
13301 28TH AVE NE, SEATTLE, WA 98125-4324
(206) 931-3675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60415553
WA
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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