Individual
CARLI HERRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSP
Contact information
Practice address
212 1ST AVE S, KENT, WA 98032-5954
(253) 217-6019
Mailing address
26120 120TH PL SE, KENT, WA 98030-8435
(253) 217-6019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60224604
WA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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