Individual
ALISSA ROSE HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
318 E MAIN AVE, SOAP LAKE, WA 98851
(509) 797-3156
(509) 246-1660
Mailing address
240 COLUMBIA RD, EPHRATA, WA 98823-1517
(509) 797-3156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60055538
WA
Other
Enumeration date
12/14/2009
Last updated
10/25/2010
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