Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 60204098 | WA |
NPI | 1003114042 |
---|---|
Provider Name | Julie Christine Onefeather |
First Address | Kent, WA 98042-4505 |
Second Address | Kent, WA 98042-4505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2011 |
Last Update Date | 28/02/2011 |