Brenda Joanne Witherow, LMP

NPI #1306194550 in Edmonds, Washington

Provider Information

NPI Number: 1306194550
Entity Type: Individual
Name: Brenda Joanne Witherow, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 20, 2012
Last Updated: Aug 20, 2012

Practice Location

Address: 547 DAYTON ST
City: Edmonds
State: Washington
ZIP Code: 98020-3431
Phone: (425) 771-5166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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