Individual
CASSIE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1105 IRVING ST SW, TUMWATER, WA 98512-6353
(360) 584-3466
Mailing address
854 WRIGLEY LN SW, TUMWATER, WA 98512-4600
(360) 584-3466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009315
WA
Other
Enumeration date
06/17/2014
Last updated
06/19/2014
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