Individual
JESSICA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP, RYT
Contact information
Practice address
3514 FREMONT AVE N, SEATTLE, WA 98103-8814
(206) 634-1300
Mailing address
3514 FREMONT AVE N, SEATTLE, WA 98103-8814
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60172201
WA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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