Individual
ALICIA MARIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
916 NE 65TH ST, SEATTLE, WA 98115-5542
(970) 631-5772
Mailing address
5105 25TH AVE NE APT D548, SEATTLE, WA 98105-4120
(970) 631-5772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61085231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61085231
LMT LICENSE NUMBER
WA
Enumeration date
08/17/2020
Last updated
08/17/2020
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