Individual
MRS. CARLY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1146 COMMERCE AVE, LONGVIEW, WA 98632-3025
(360) 577-6956
Mailing address
1618 SW 5TH ST, BATTLE GROUND, WA 98604-3006
(360) 909-9341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60331034
WA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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