Individual
CARLA JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 PACIFIC AVE SE, OLYMPIA, WA 98501-2085
(360) 789-1404
Mailing address
8041 CHESTNUT HILL DR SE, OLYMPIA, WA 98513-8901
(360) 789-1404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-61396892
WA
374J00000X
Doula
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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