Individual
CARLIE JEAN LUBBESMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
601 S PINE ST STE 201, TACOMA, WA 98405-2795
(253) 396-1000
Mailing address
601 S PINE ST STE 201, TACOMA, WA 98405-2795
(253) 396-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
MA61555670
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2020
Last updated
11/04/2024
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