Individual
CARSON MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13555 SE 36TH ST STE 100, BELLEVUE, WA 98006-1456
(866) 839-6979
Mailing address
13555 SE 36TH ST STE 100, BELLEVUE, WA 98006-1456
(866) 839-6979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61309985
WA
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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