Elsa Dearth

NPI #1073088175 in Washougal, Washington

Provider Information

NPI Number: 1073088175
Entity Type: Individual
Name: Elsa Dearth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 4, 2018
Last Updated: Oct 2, 2019

Practice Location

Address: 1901 MAIN ST
City: Washougal
State: Washington
ZIP Code: 98671-4116
Phone: (360) 835-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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