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Organization

ATHLETIC STRETCH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIOBHAN COLEMAN LMP (OWNER/MASSAGE THERAPIST)
(208) 486-6683
Entity
Organization

Contact information

Practice address
118 105TH AVE NE, BELLEVUE, WA 98004-5913
(206) 486-6683
(206) 858-9655
Mailing address
118 105TH AVE NE, BELLEVUE, WA 98004-5913
(206) 486-6683
(206) 858-9655

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60299782
WA

Other

Enumeration date
11/30/2015
Last updated
11/30/2015
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