Individual
MS. CARLIE JAE BOCKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1905 QUEEN ANNE AVE N, SEATTLE, WA 98109-2500
(206) 282-8275
(206) 282-8784
Mailing address
1905 QUEEN ANNE AVE N, SEATTLE, WA 98109-2500
(206) 282-8275
(206) 282-8784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022371
WA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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