Individual
CARLY ERIN SPILLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10321 150TH STREET CT E, PUYALLUP, WA 98374-3731
(253) 446-0171
Mailing address
10321 150TH STREET CT E, PUYALLUP, WA 98374-3731
(253) 446-0171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00022218
WA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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