MAVERICK KANNEGAARD

SEATTLE, WA
NPI1821540733
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA 60332657)
Enumeration Date2016-10-26
Last Update Date2016-11-04
Business Address
-- MAVERICK KANNEGAARD
FREMONT AVE N #412
SEATTLE, WA 98103
Phone number: 206-853-1540
Mailing Address
-- MAVERICK KANNEGAARD
411 NE 94TH ST
SEATTLE, WA 98115-2730
Phone number: 208-874-7648
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