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Corey Glen Davidson
Massage Therapist in Vancouver, Washington
NPI 1447753702

Corey Glen Davidson is a Massage Therapist based in Vancouver, WA. Corey Glen Davidson practices in Vancouver, WA. The NPI Number for Corey Glen Davidson is 1447753702 and holds a License No. 60656485 (Washington).

The current practice location address for Corey Glen Davidson is 100 E 13Th St Ste 111, Vancouver, WA and can be reached out via phone at 360-521-6090.

Location: 100 E 13Th St Ste 111, Vancouver, WA, 98662-2274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447753702
Provider Name
Corey Glen Davidson
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 E 13Th St Ste 111, Vancouver, WA, 98662-2274
Phone Number
360-521-6090
Fax Number
Provider Enumeration Date
03/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 E 13Th St Ste 111
City
Vancouver
State
Washington
Zip
98660-3329
Phone Number
360-521-6090
Fax Number
person
Provider Business Mailing Address Details
Address
100 E 13Th St Ste 111
City
Vancouver
State
Washington
Zip
98660-3329
Phone Number
360-521-6090
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
60656485 (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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