Individual
MR. GUNNAR CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9944 SANDPIPER CT NW, OLYMPIA, WA 98502-9702
(520) 780-0763
Mailing address
9944 SANDPIPER CT NW, OLYMPIA, WA 98502-9702
(520) 780-0763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-16180
AZ
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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