Individual
CARRIE DEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7104 265TH ST NW STE 130, STANWOOD, WA 98292-6250
(206) 354-8382
Mailing address
3823 SHORE AVE, EVERETT, WA 98203-1228
(206) 354-8382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60708337
WA
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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