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Individual

MR. RIEN STEPHEN PURVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6053
AL
172M00000X
Mechanotherapist
MA00017755
WA
174400000X
Specialist
MA00017755
WA
225700000X
Massage Therapist
MA00017755
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6053
MECHANOTHERAPY
AL
01
MA00017755
MECHANOTHERAPY
WA
Enumeration date
01/02/2007
Last updated
10/24/2022
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