MR. Joshua Wayne Grooms, LMP

NPI #1023398518 in Washougal, Washington

Provider Information

NPI Number: 1023398518
Entity Type: Individual
Name: MR. Joshua Wayne Grooms, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 28, 2011
Last Updated: Aug 28, 2011

Practice Location

Address: 528 20TH ST
City: Washougal
State: Washington
ZIP Code: 98671-1526
Phone: (360) 281-6052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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