Individual
CAROLYN MICHELE CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
450 PORT ORCHARD BLVD STE 390, PORT ORCHARD, WA 98366-4705
(360) 440-8060
Mailing address
PO BOX 772, MANCHESTER, WA 98353-0772
(360) 440-8060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012895
WA
Other
Enumeration date
03/26/2007
Last updated
04/04/2016
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