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Individual

CAROL TROST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
111 E LINCOLN RD STE 1, SPOKANE, WA 99208-6901
(509) 879-1941
Mailing address
PO BOX 112, MEAD, WA 99021-0112
(509) 879-1941

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00016437
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0169255
LNI
WA
01
1588852875
MASSAGE THERAPY
Enumeration date
10/11/2007
Last updated
04/14/2015
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