Richard Davis, LMP

NPI #1275886020 in Longview, Washington

Provider Information

NPI Number: 1275886020
Entity Type: Individual
Name: Richard Davis, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Oct 17, 2012
Last Updated: Oct 17, 2012

Practice Location

Address: 831 12TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2403
Phone: (360) 636-2470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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