MR. Glen Erickson, LMT

NPI #1003956962 in Olympia, Washington

Provider Information

NPI Number: 1003956962
Entity Type: Individual
Name: MR. Glen Erickson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1217 4TH AVE E
Address 2: SUITE 200
City: Olympia
State: Washington
ZIP Code: 98506-4246
Phone: (360) 570-8151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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