Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00001854 | WA |
NPI | 1013358258 |
---|---|
Provider Name | Patricia Fincher |
First Address | Richland, WA 99352-3405 |
Second Address | Richland, WA 99352-3405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2013 |
Last Update Date | 16/07/2013 |