Colleen K Deveraux, LMP

NPI #1669592937 in Covington, Washington

Provider Information

NPI Number: 1669592937
Entity Type: Individual
Name: Colleen K Deveraux, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 16720 SE 271ST ST
Address 2: STE 200
City: Covington
State: Washington
ZIP Code: 98022
Phone: (253) 630-5808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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