Individual
CARRIE LISTER WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10004 204TH AVE E, STE 3100, BONNEY LAKE, WA 98391-6539
(253) 863-7510
(253) 863-5790
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021028
WA
Other
Enumeration date
02/16/2007
Last updated
01/14/2017
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