Individual
ELIZABETH ANN TODACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
776 COMMERCE ST APT 522, TACOMA, WA 98402-4506
(206) 769-8785
Mailing address
5213 PACIFIC AVE, TACOMA, WA 98408-7695
(253) 474-1234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021398
WA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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