Individual
CODY J TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
40 E HEAVENLY LN, UNION, WA 98592-9548
(360) 463-8205
Mailing address
40 E HEAVENLY LN, UNION, WA 98592-9548
(360) 463-8205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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