PAUDRA NATHAN FOROUTAN LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1659139681- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 22626 NE INGLEWOOD HILL RD APT 524, SAMMAMISH, WA, 980745008
- Phone
- (425) 765-6036
Specialties & Taxonomies
Massage Therapist
Primary License: WA #MA61369510
All Addresses
MAILING
22626 NE INGLEWOOD HILL RD APT 524
SAMMAMISH, WA, 980745008