Courtney Leigh Theriot, LMP

NPI #1063782100 in Olympia, Washington

Provider Information

NPI Number: 1063782100
Entity Type: Individual
Name: Courtney Leigh Theriot, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jan 6, 2012
Last Updated: Jan 6, 2012

Practice Location

Address: 8744 YELM HWY SE
City: Olympia
State: Washington
ZIP Code: 98513-6341
Phone: (360) 970-0460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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