Individual provider · Type 1 NPI

Carissa Ann Jacobsen, LMP

Massage Therapist · Seattle, WA

NPI number 1003054651 Active

Practice location

460 NE 70th Street
Seattle, WA 98115

Call (206) 522-4000 Map

Mailing address

P.o. Box 262
North Lakewood, WA 98259

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60040731 (WA)

Massage Therapist: 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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About NPI 1003054651

Carissa Ann Jacobsen, LMP's National Provider Identifier is 1003054651, issued on Feb 4, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Feb 4, 2009.