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Ms. Karrie Larae Wilson, LMP
Massage Therapist in Vancouver, Washington
NPI 1073761185

Karrie Larae Wilson is a Massage Therapist based in Vancouver, WA. Karrie Larae Wilson practices in Vancouver, WA and has the professional credentials of LMP. The NPI Number for Karrie Larae Wilson is 1073761185 and holds a License No. MA60025093 (Washington).

The current practice location address for Karrie Larae Wilson is 501 Se 172Nd Ave, Vancouver, WA and can be reached out via phone at 360-882-2778 and via fax at 360-604-1771.

Location: 501 Se 172Nd Ave, Vancouver, WA, 98664-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073761185
Provider Name
Karrie Larae Wilson
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
501 Se 172Nd Ave, Vancouver, WA, 98664-1913
Phone Number
360-882-2778
Fax Number
360-604-1771
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0240279 01 WA L & I
institution
Provider Business Practice Location Address Details
Address
501 Se 172Nd Ave
City
Vancouver
State
Washington
Zip
98684-9542
Phone Number
360-882-2778
Fax Number
360-604-1771
person
Provider Business Mailing Address Details
Address
501 Se 172Nd Ave
City
Vancouver
State
Washington
Zip
98684-9542
Phone Number
360-882-2778
Fax Number
360-604-1771
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60025093 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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