Individual
CHRYSTAL DAWN RUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12814 220TH AVE E, BONNEY LAKE, WA 98391-7624
(253) 222-0897
Mailing address
223 SEATTLE BLVD S, ALGONA, WA 98001-8512
(253) 222-0897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60198457
WA
Other
Enumeration date
09/08/2011
Last updated
12/22/2014
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