Individual
MS. STACIA GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 LAWRENCE ST STE 102, PORT TOWNSEND, WA 98368-6554
(065) 708-5588
(866) 816-1311
Mailing address
PO BOX 536, PORT TOWNSEND, WA 98368-0536
(806) 570-8558
(866) 816-1311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60633997
WA
225X00000X
Occupational Therapist
Primary
OT60138440
WA
Other
Enumeration date
09/01/2015
Last updated
08/07/2020
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