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Stephanie S Carl, LMP
Massage Therapist in Othello, Washington
NPI 1356986103

Stephanie S Carl is a Massage Therapist based in Othello, WA. Stephanie S Carl practices in Othello, WA and has the professional credentials of LMP. The NPI Number for Stephanie S Carl is 1356986103 and holds a License No. MA61005491 (Washington).

The current practice location address for Stephanie S Carl is 1366 E Larch St, Othello, WA and can be reached out via phone at 509-989-0122.

Location: 1366 E Larch St, Othello, WA, 99344-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356986103
Provider Name
Stephanie S Carl
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1366 E Larch St, Othello, WA, 99344-1535
Phone Number
509-989-0122
Fax Number
Provider Enumeration Date
11/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CARL-SS119OL 01 WA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1366 E Larch St
City
Othello
State
Washington
Zip
99344-1535
Phone Number
509-989-0122
Fax Number
person
Provider Business Mailing Address Details
Address
1366 E Larch St
City
Othello
State
Washington
Zip
99344-1535
Phone Number
509-989-0122
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61005491 (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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