Individual
COLLEEN GOETHALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2805 OLIE ANN PL, ENUMCLAW, WA 98022-7429
(360) 761-8279
Mailing address
2805 OLIE ANN PL, ENUMCLAW, WA 98022-7429
(360) 761-8279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
246161
KY
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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