Individual
MICHELLE MARIE CARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 N SHELTON SPRINGS RD, SHELTON, WA 98584-9199
(206) 267-8867
Mailing address
241 E PATHFINDERS DR, BELFAIR, WA 98528-9157
(206) 267-8867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161019989
WA
2255A2300X
Athletic Trainer
ATR-009059
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A161019989
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
ATR-009059
ARIZONA BOARD OF ATHLETIC TRAINERS
AZ
Enumeration date
11/20/2020
Last updated
11/20/2020
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