Individual
ELLEN D MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4044 11TH AVE NW, OLYMPIA, WA 98502-2520
(360) 753-8095
Mailing address
4044 11TH AVE NW, OLYMPIA, WA 98502-2520
(360) 753-8095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00003076
WA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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