Individual
CARMEN MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
33650 6TH AVE S, FEDERAL WAY, WA 98003-6754
(253) 942-3305
Mailing address
29642 57TH PL S, AUBURN, WA 98001-2387
(206) 458-2233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60418604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60418604
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/07/2013
Last updated
11/07/2013
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