THEODORA A FOGARTY

SEATTLE, WA
NPI1811074164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA00005167)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
THEODORA A FOGARTY LMP
2819 NE 115TH ST
SEATTLE, WA 98125-6706
Phone number: 206-365-6720
Mailing Address
THEODORA A FOGARTY LMP
2819 NE 115TH ST
SEATTLE, WA 98125-6706
Phone number: 206-365-6720