Individual
DEBORA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
919 128TH ST SW, EVERETT, WA 98204-6315
(425) 347-8614
(425) 348-6986
Mailing address
919 128TH ST SW, EVERETT, WA 98204-6315
(425) 347-8614
(425) 348-6986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA21321
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200181386
TAX ID
WA
Enumeration date
05/01/2007
Last updated
07/08/2007
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