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Jereck Carmona
Massage Therapist in Lacey, Washington
NPI 1629642343

Jereck Carmona is a Massage Therapist based in Tumwater, WA. Jereck Carmona practices in Lacey, WA. The NPI Number for Jereck Carmona is 1629642343 and holds a License No. MA61161777 (Washington).

The current practice location address for Jereck Carmona is 4520 Intelco Loop Se Ste 4E, Lacey, WA and can be reached out via phone at 360-402-6776 and via fax at 360-347-1850.

Location: 4520 Intelco Loop Se Ste 4E, Lacey, WA, 98501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629642343
Provider Name
Jereck Carmona
Credential
Provider Entity Type
Individual
Gender
Male
Address
4520 Intelco Loop Se Ste 4E, Lacey, WA, 98501
Phone Number
360-402-6776
Fax Number
360-347-1850
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4520 Intelco Loop Se Ste 4E
City
Lacey
State
Washington
Zip
98503-6012
Phone Number
360-402-6776
Fax Number
360-347-1850
person
Provider Business Mailing Address Details
Address
4520 Intelco Loop Se Ste 4E
City
Lacey
State
Washington
Zip
98503-6012
Phone Number
360-402-6776
Fax Number
360-347-1850
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61161777 (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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