Individual
CAROL ETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
670 NW GILMAN BLVD, SUITE B2, ISSAQUAH, WA 98027-2444
(425) 427-6562
Mailing address
PO BOX 51, HOBART, WA 98025-0051
(425) 200-9432
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00012171
WA
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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