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Carl Wilson, LMT
Massage Therapist in Seattle, Washington
NPI 1124645932

Carl Wilson is a Massage Therapist based in Seattle, WA. Carl Wilson practices in Seattle, WA and has the professional credentials of LMT. The NPI Number for Carl Wilson is 1124645932 and holds a License No. MA00005063 (Washington).

The current practice location address for Carl Wilson is 12345 Roosevelt Way Ne Apt 304, Seattle, WA and can be reached out via phone at 206-427-7084.

Location: 12345 Roosevelt Way Ne Apt 304, Seattle, WA, 98125-4867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124645932
Provider Name
Carl Wilson
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
12345 Roosevelt Way Ne Apt 304, Seattle, WA, 98125-4867
Phone Number
206-427-7084
Fax Number
Provider Enumeration Date
06/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA00005063 01 WA LICENSED MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
12345 Roosevelt Way Ne Apt 304
City
Seattle
State
Washington
Zip
98125-4867
Phone Number
206-427-7084
Fax Number
person
Provider Business Mailing Address Details
Address
12345 Roosevelt Way Ne Apt 304
City
Seattle
State
Washington
Zip
98125-4867
Phone Number
206-427-7084
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00005063 (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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