Individual
BRENDA JAYNE RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 KLA-OOK-WA DRIVE, TAHOLAH, WA 98587-0219
(360) 276-4405
Mailing address
PO BOX 219, TAHOLAH, WA 98587-0219
(360) 276-4405
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00009150
WA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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