Individual
CARL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1916 HARVARD AVE E, SEATTLE, WA 98102-4257
(415) 420-7800
Mailing address
1916 HARVARD AVE E, SEATTLE, WA 98102-4257
(415) 420-7800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023356
WA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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