Individual
CASSANDRA RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
530 S 336TH ST, SUITE C, FEDERAL WAY, WA 98003-6383
(253) 874-3857
Mailing address
32856 20TH AVE S, UNIT B, FEDERAL WAY, WA 98003-6430
(253) 324-8345
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
MA60404058
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289955556
AMTA
WA
Enumeration date
11/06/2013
Last updated
11/06/2013
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