Ruth Joy Pettibone, MA60443142

NPI #1174948806 in Bothell, Washington

Provider Information

NPI Number: 1174948806
Entity Type: Individual
Name: Ruth Joy Pettibone, MA60443142
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MA60443142
Enumeration Date: Mar 5, 2014
Last Updated: Mar 5, 2014

Practice Location

Address: 10117 MAIN ST
City: Bothell
State: Washington
ZIP Code: 98011-3425
Phone: (425) 806-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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