Individual
CAROL JEAN EMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6501 MOTOR AVE SW, LAKEWOOD, WA 98499-1579
(253) 861-9691
Mailing address
10721 111TH AVE SW, TACOMA, WA 98498-1484
(425) 931-4851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00020996
WA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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