Individual
CAROL K WALRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4407 59TH STREET CT E, TACOMA, WA 98443-2447
(253) 279-2280
Mailing address
PO BOX 112286, TACOMA, WA 98411-2286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60026804
WA
Other
Enumeration date
11/08/2009
Last updated
11/08/2009
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