Organization
EVERGREEN MASSAGE & WELLNESS
Active
Other names
Edmonds Massage Center
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE YAO SOUTHWICK (MANAGER/OWNER)
(425) 776-1056
Entity
Organization
Contact information
Practice address
6808 220TH ST SW STE 203, MOUNTLAKE TERRACE, WA 98043-2187
(425) 776-1056
Mailing address
6808 220TH ST SW STE 203, MOUNTLAKE TERRACE, WA 98043-2187
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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