Individual
DANA C STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
411B NW 101ST ST, SEATTLE, WA 98177-4936
(206) 774-5938
Mailing address
411B NW 101ST ST, SEATTLE, WA 98177-4936
(206) 774-5938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023861
WA
Other
Enumeration date
07/30/2008
Last updated
03/04/2009
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