Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 60335606 | WA |
NPI | 1013258235 |
---|---|
Provider Name | Mr. David Sinclair Robison |
First Address | Seattle, WA 98105-2311 |
Second Address | Monroe, WA 98272-1519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2013 |
Last Update Date | 13/03/2013 |