Individual
CEARA NICOLE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
812 39TH AVE SW STE A, PUYALLUP, WA 98373-5915
(253) 268-0686
Mailing address
13327 108TH AVE E, PUYALLUP, WA 98374-5615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60769590
WA
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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