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Ebenezer William Allen Dahl, LMT
Massage Therapist in Enumclaw, Washington
NPI 1679273916

Ebenezer William Allen Dahl is a Massage Therapist based in Enumclaw, WA. Ebenezer William Allen Dahl practices in Enumclaw, WA and has the professional credentials of LMT. The NPI Number for Ebenezer William Allen Dahl is 1679273916 and holds a License No. MA61403991 (Washington).

The current practice location address for Ebenezer William Allen Dahl is 553 Roosevelt Ave Ste 204, Enumclaw, WA and can be reached out via phone at 253-289-4463.

Location: 553 Roosevelt Ave Ste 204, Enumclaw, WA, 98022-2990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679273916
Provider Name
Ebenezer William Allen Dahl
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
553 Roosevelt Ave Ste 204, Enumclaw, WA, 98022-2990
Phone Number
253-289-4463
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
553 Roosevelt Ave Ste 204
City
Enumclaw
State
Washington
Zip
98022-2990
Phone Number
253-289-4463
Fax Number
person
Provider Business Mailing Address Details
Address
553 Roosevelt Ave Ste 204
City
Enumclaw
State
Washington
Zip
98022-2990
Phone Number
253-289-4463
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61403991 (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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