Individual
COREY MICHAEL BRETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
614 EAST MAIN STREET, BATTLE GROUND, WA 98604
(360) 687-2404
Mailing address
915 SE 9TH CT, BATTLE GROUND, WA 98604
(360) 852-7469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA601141250
WA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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