Stephen Fuller, LMP
NPI #1104217033 in Des Moines, Washington
Provider Information
- NPI Number
- 1104217033
- Entity Type
- Individual
- Name
- Stephen Fuller, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Feb 13, 2015
- Last Updated
- Feb 13, 2015
Practice Location
- Address
- 22021 7TH AVE S
- Address 2
- SUITE 3
- City
- Des Moines
- State
- Washington
- ZIP Code
- 98198-6218
- Phone
- (206) 429-2782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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