Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60175828 | WA |
NPI | 1003128083 |
---|---|
Provider Name | Eric Bartsch |
First Address | Mount Vernon, WA 98273-8586 |
Second Address | Burlington, WA 98233-3113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2010 |
Last Update Date | 02/10/2019 |