Individual
BROOKE GRESHAM HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2901 S 19TH ST, TACOMA, WA 98405-2430
(253) 224-1425
Mailing address
2901 S 19TH ST, TACOMA, WA 98405-2430
(253) 224-1425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00011772
WA
Other
Enumeration date
01/26/2011
Last updated
08/23/2016
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