Individual
AMY ELYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SW BARTON ST, SEATTLE, WA 98126-3948
(206) 453-5397
Mailing address
8145 9TH AVE SW, SEATTLE, WA 98106-2129
(206) 459-6639
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60520689
WA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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