Individual
ERIC JAMES MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8112 112TH STREET CT E, PUYALLUP, WA 98373-7815
(253) 970-8256
(253) 604-4450
Mailing address
PO BOX 73369, PUYALLUP, WA 98373-0369
(253) 970-8256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61312203
WA
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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