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Mr. William A Provost JR., LMP
Massage Therapist in Colville, Washington
NPI 1649317827

William A Provost JR. is a Massage Therapist based in Colville, WA. William A Provost JR. practices in Colville, WA and has the professional credentials of LMP. The NPI Number for William A Provost JR. is 1649317827 and holds a License No. MA0001511 (Washington).

The current practice location address for William A Provost JR. is 162 S Main St, Colville, WA and can be reached out via phone at 509-684-1420.

Location: 162 S Main St, Colville, WA, 99114-3419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649317827
Provider Name
William A Provost JR.
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
162 S Main St, Colville, WA, 99114-3419
Phone Number
509-684-1420
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
162 S Main St
City
Colville
State
Washington
Zip
99114-2406
Phone Number
509-684-1420
Fax Number
person
Provider Business Mailing Address Details
Address
162 S Main St
City
Colville
State
Washington
Zip
99114-2406
Phone Number
509-684-1420
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA0001511 (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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