Individual
AMY WYLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7977 170TH AVE NE APT B419, REDMOND, WA 98052-4078
(360) 296-9933
Mailing address
7977 170TH AVE NE APT B419, REDMOND, WA 98052-4078
(360) 296-9933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60629004
WA
Other
Enumeration date
03/04/2016
Last updated
01/12/2020
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