Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA0013043 | WA |
NPI | 1013051051 |
---|---|
Provider Name | Mrs. Sarah Ann Reid |
First Address | Federal Way, WA 98023-2604 |
Second Address | Tacoma, WA 98406-7519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 06/10/2015 |