Individual provider · Type 1 NPI

Carol B. Tiebout, LMP

Massage Therapist · Seattle, WA

NPI number 1104032390 Active

Practice location

4508 S Willow St
Seattle, WA 98118-3641

Call (206) 322-2926 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 12878 (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 1104032390

Carol B. Tiebout, LMP's National Provider Identifier is 1104032390, issued on May 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.