Individual
CAROL S GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
628 W ALDER ST, SHELTON, WA 98584-3458
(360) 426-6325
Mailing address
401 SE ARCADIA SHORES RD, SHELTON, WA 98584-9341
(360) 427-2579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018636
WA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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