Individual
ANDREW MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
800 164TH ST SE, STE. N, MILL CREEK, WA 98012-6301
(425) 319-1123
Mailing address
800 164TH ST SE, STE. N, MILL CREEK, WA 98012-6301
(425) 319-1123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60498954
WA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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