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EDITH A MCCLOSKY LMP

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1689032542

Individual Registrant:
 EDITH A MCCLOSKY LMP
Gender: F
Sole Proprietor

Location and contact information for practice:
718 WEST MAIN AVENUE  BREWSTER, WA 98812 US
Tel: 509-449-3592  Fax: 509-689-2330

Contact information for business:
PO BOX 655  BREWSTER, WA 98812-0655 US
Tel: 509-449-3592  Fax: 509-689-2330

Registration Information:
NPI: 1689032542
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
WAMA60625109

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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