Individual
DANIEL WILLIAM ARVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP,CES,PES
Contact information
Practice address
15508 COUNTRY CLUB DR, A48, MILL CREEK, WA 98012-1729
(206) 861-5839
Mailing address
15508 COUNTRY CLUB DR, A48, MILL CREEK, WA 98012-1729
(206) 861-5839
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
165644
WA
225700000X
Massage Therapist
Primary
MA60103755
WA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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