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Individual

DANIELLE MELLROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1100 BELLEVUE WAY NE, BELLEVUE, WA 98004-4280
(425) 292-7888
Mailing address
1837 N 52ND ST, SEATTLE, WA 98103-6111
(360) 224-0023

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60175880
WA

Other

Enumeration date
03/18/2014
Last updated
03/18/2014
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