Brooke K. Danielson, Lmp
Specialist in Vancouver, WA. Organization (NPI-2).
NPI number1861769366
StatusActive
Last updated in NPPESNov 28, 2011
Details
- NPI
- 1861769366
- Entity type
- Organization (NPI-2)
- Legal business name
- Brooke K. Danielson, Lmp
- Organization subpart
- No
- Enumeration date
- Nov 28, 2011
- Last updated
- Nov 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MA00024065 | WA | Yes |
Practice location
615 Se Chkalov DrSuite 7
Vancouver, WA 98683-5279
Phone 360-885-1767 · Fax 360-885-1394
Mailing address
615 Se Chkalov DrSuite 7
Vancouver, WA 98683-5279
Phone 360-885-1767 · Fax 360-885-1394
Authorized official
Brooke Kristen Danielson
Massage Therapist
3609075144
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