Individual
DEBRA GISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CDT
Contact information
Practice address
2705 LOCUST AVE W, UNIVERSITY PLACE, WA 98466-3408
(253) 209-5851
Mailing address
8425 S 17TH ST, TACOMA, WA 98465-1012
(253) 209-5851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012053
WA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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