Individual
CARRIE M EMMONS
Active
Individual
CARRIE M EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007029
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118314
DEPT OF LABOR & INDUSTRY
WA
01
—
650015209
RAILROAD MEDICARE
WA
05
—
8334898
—
WA
01
—
8922203
CRIME VICTIMS
WA
01
—
A002
TRICARE
WA
01
—
EM5142
REGENCE BLUE SHIELD
WA
Enumeration date
09/27/2006
Last updated
07/03/2015
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