Individual
KATIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 NW MYHRE RD STE 102, SILVERDALE, WA 98383-7672
(360) 598-3764
Mailing address
2400 NW MYHRE RD STE 101, SILVERDALE, WA 98383-7672
(360) 598-3764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61413269
WA
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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