Coulter, Sunrise Moonshadow

Coulter, Sunrise Moonshadow is an sole proprietor health care provider with primary practice located at 542 N 5Th Ave , Sequim WA 98382-3079. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Coulter, Sunrise Moonshadow can be contacted via phone (360) 683-7911.

Contact Information

Primary practice address
542 N 5Th Ave Sequim WA 98382-3079
Phone: (360) 683-7911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18466 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA60408973 Washington

Profile Details

NPI number 1811323801
LBN Legal business name Coulter, Sunrise Moonshadow
Credentials LMT, LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2013
Last updated Sep 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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