Individual
ANTHONY RAY GITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, LMP
Contact information
Practice address
13218 NE 80TH AVE, VANCOUVER, WA 98662-1100
(503) 729-3102
Mailing address
13218 NE 80TH AVE, VANCOUVER, WA 98662-1100
(503) 729-3102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15560
OR
225700000X
Massage Therapist
MA 60112084
WA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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