Individual provider · Type 1 NPI

Jereck Carmona

Massage Therapist · Lacey, WA

NPI number 1629642343 Active

Practice location

4520 Intelco Loop SE Ste 4E
Lacey, WA 98503-6012

Call (360) 402-6776 Map

Fax (360) 347-1850

Mailing address

9083 Wyatt Ct SE
Tumwater, WA 98501

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61161777 (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.

5 other providers at this address

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About NPI 1629642343

Jereck Carmona's National Provider Identifier is 1629642343, issued on May 17, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lacey, WA. The record was last updated on May 17, 2021.