MRS. Terra Marie Forkner, LMP

NPI #1235672882 in Mount Vernon, Washington

Provider Information

NPI Number
1235672882
Entity Type
Individual
Name
MRS. Terra Marie Forkner, LMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
Nov 30, 2016
Last Updated
Feb 22, 2017

Practice Location

Address
1202 S. 2ND STREET
Address 2
SUITE E
ZIP Code
98273
Phone
(360) 610-1089

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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