Individual
ATHENA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1163 NE MCWILLIAMS RD APT A, BREMERTON, WA 98311-3139
(360) 731-4351
Mailing address
1163 NE MCWILLIAMS RD APT A, BREMERTON, WA 98311-3139
(360) 731-4351
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60057772
WA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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