Erin Corcoran, LMP
Massage Therapist in Kent, WA. Individual provider (NPI-1).
NPI number1477792000
StatusActive
Last updated in NPPESMay 7, 2009
Details
- NPI
- 1477792000
- Entity type
- Individual (NPI-1)
- Name
- Erin Corcoran
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2009
- Last updated
- May 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 60055129 | WA | Yes |
| 172M00000X | Mechanotherapist | MA60055129 | WA |
Practice location
24909 104th Ave Se Ste 103Kent, WA 98030-2819
Phone 253-850-8163 · Fax 253-850-8164
Mailing address
24909 104th Ave Se Ste 103Kent, WA 98030-2819
Phone 253-850-8163 · Fax 253-850-8164
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