Individual
MR. BRIAN FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
1648 SO. 310TH ST., SUITE 5A, FEDERAL WAY, WA 98003
(253) 941-1212
(253) 941-1212
Mailing address
2235 SW 330TH ST, FEDERAL WAY, WA 98023-2888
(253) 520-0158
(253) 854-9860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73217
L & I NUMBER
WA
Enumeration date
12/22/2006
Last updated
12/08/2014
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