Individual
ELLEN MOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12932 SE KENT KANGLEY RD # 438, KENT, WA 98030-7940
(253) 630-6614
Mailing address
12932 SE KENT KANGLEY RD # 438, KENT, WA 98030-7940
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023113
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00023113
MASSAGE THERAPY
WA
Enumeration date
07/09/2009
Last updated
07/09/2009
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