Individual
CAROL ANN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8310 165TH AVE NE, LIFE CHANGES MESSAGE, REDMOND, WA 98052
(425) 785-8995
Mailing address
5710 122ND AVE SE, #187, BELLEVUE, WA 98006
(425) 649-0668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010809
WA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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