Individual
CARRIE M EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
25012 104TH AVE SE, SUITE C, KENT, WA 98030-2821
(253) 856-3477
(253) 856-3478
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
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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