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Dick Duane Pouliot, LMP
Massage Therapist in Marysville, Washington
NPI 1164565701

Dick Duane Pouliot is a Massage Therapist based in Snohomish, WA. Dick Duane Pouliot practices in Marysville, WA and has the professional credentials of LMP. The NPI Number for Dick Duane Pouliot is 1164565701 and holds a License No. M00004930 (Washington).

The current practice location address for Dick Duane Pouliot is 1818 Grove St # A, Marysville, WA and can be reached out via phone at 425-280-1008.

Location: 1818 Grove St # A, Marysville, WA, 98290-1016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164565701
Provider Name
Dick Duane Pouliot
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
1818 Grove St # A, Marysville, WA, 98290-1016
Phone Number
425-280-1008
Fax Number
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54890 01 WA L&I NUMBER
PO9881 01 WA REGENCE BLUE SHIELD NUM.
institution
Provider Business Practice Location Address Details
Address
1818 Grove St # A
City
Marysville
State
Washington
Zip
98270-4330
Phone Number
425-280-1008
Fax Number
person
Provider Business Mailing Address Details
Address
1818 Grove St # A
City
Marysville
State
Washington
Zip
98270-4330
Phone Number
425-280-1008
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
M00004930 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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