Individual
ALEX P BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
21525 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-4101
(253) 826-8520
Mailing address
26837 MAPLE VALLEY BLACK DIAMOND RD SE STE 201, MAPLE VALLEY, WA 98038-9917
(425) 413-4427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA20611
WA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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