Individual
BRANDAIS FAYE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 CENTER ST, SUITE N, TACOMA, WA 98409-2314
(253) 476-0449
(253) 476-0286
Mailing address
5006 CENTER ST, SUITE N, TACOMA, WA 98409-2314
(253) 476-0449
(253) 476-0286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60282022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60282022
MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
02/19/2013
Last updated
02/19/2013
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