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Ms. Beverly Nicole Prater, MA60862028
Massage Therapist in Mill Creek, Washington
NPI 1568954683

Beverly Nicole Prater is a Massage Therapist based in Mill Creek, WA. Beverly Nicole Prater practices in Mill Creek, WA and has the professional credentials of MA60862028. The NPI Number for Beverly Nicole Prater is 1568954683 and holds a License No. MA60862028 (Washington).

The current practice location address for Beverly Nicole Prater is 1231 Mill Creek Blvd Apt I202, Mill Creek, WA and can be reached out via phone at 360-201-6795.

Location: 1231 Mill Creek Blvd Apt I202, Mill Creek, WA, 98012-3086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568954683
Provider Name
Beverly Nicole Prater
Credential
MA60862028
Provider Entity Type
Individual
Gender
Female
Address
1231 Mill Creek Blvd Apt I202, Mill Creek, WA, 98012-3086
Phone Number
360-201-6795
Fax Number
Provider Enumeration Date
06/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60862028 01 WA WASHINGTON DOH
institution
Provider Business Practice Location Address Details
Address
1231 Mill Creek Blvd Apt I202
City
Mill Creek
State
Washington
Zip
98012-3086
Phone Number
360-201-6795
Fax Number
person
Provider Business Mailing Address Details
Address
1231 Mill Creek Blvd Apt I202
City
Mill Creek
State
Washington
Zip
98012-3086
Phone Number
360-201-6795
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60862028 (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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