Individual
MRS. CRYSTEL L COUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2627 CAPITOL MALL DR SW, STEB3A, OLYMPIA, WA 98502-8696
(360) 786-6322
(360) 284-9801
Mailing address
7412 MULLEN RD SE, LACEY, WA 98503-4577
(360) 786-6322
(360) 786-5677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023407
WA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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