Jessica Thor LMT
Specialist in Bonney Lake, WA(View on Map)
Full Name
Jessica Thor LMT
NPI Number
1720387525
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/18/2011
Specialties
(Taxonomies)Licenses
State
Washington
License Number
MA 00019936
Contact
Information
Purpose
Mailing
Location
Address
19102 STATE ROUTE 410 E. #A
19102 STATE ROUTE 410 E STE A
City
Bonney Lake
Bonney Lake
State
WA
WA
Postal Code
98391
98391-8449
Country
US
US
Telephone Number
(253) 863-6378
(253) 863-6378
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/20/2012