| Provider Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Provider Classification: | Massage Therapist |
| Definition of Specialization: | |
| Address: |
2252 Nw 27th Cir Camas, WA 98607-8072 |
| Phone: | (360) 852-2443 |
| Gender: | Male |
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