NPI 1003083411
Patricia Grace Brockwell, LMP
Practice location
- Address
- 32015 1st Ave S, Federal Way, WA 98003-5701
- Phone
- (253) 927-9382
- Mailing address
- 18118 96th Ave E, Puyallup, WA 98375-6326
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1003083411
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 May 2008
- Record last updated
- 14 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.