Individual
AMANDA MARIE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60503968
Contact information
Practice address
26248 SE 162ND PL, ISSAQUAH, WA 98027-9802
(425) 891-6224
(425) 891-6224
Mailing address
26248 SE 162ND PL, ISSAQUAH, WA 98027-8237
(425) 891-6224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60503968
WA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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