Individual
CHERIE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
141 S MAIN ST, MONTESANO, WA 98563-3708
(360) 249-6360
(360) 249-2745
Mailing address
PO BOX 950, COSMOPOLIS, WA 98537-0950
(360) 402-7493
(360) 538-9802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015309
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201188
LABOR & INDUSTRIES
WA
Enumeration date
05/22/2007
Last updated
07/08/2007
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