Individual
MRS. CARA JEANETTE KNOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15021 SE 177TH PL APT H, RENTON, WA 98058-9074
(206) 498-3826
Mailing address
15021 SE 177TH PL APT H, RENTON, WA 98058-9074
(206) 498-3826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217863
DEPT OF LABOR AND INDUST
WA
Enumeration date
03/27/2007
Last updated
06/18/2013
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