Individual
MR. BARRY T CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
23631 78TH AVE W, EDMONDS, WA 98026-8819
(425) 774-1737
Mailing address
23631 78TH AVE W, EDMONDS, WA 98026-8819
(425) 774-1737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118648
DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
05/22/2012
Last updated
05/22/2012
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