Individual provider · Type 1 NPI
Carol S. Gardner, LMP
Massage Therapist · Shelton, WA
NPI number
1649398892
Active
Practice location
628 W Alder St
Shelton, WA 98584-3458
Mailing address
401 SE Arcadia Shores Rd
Shelton, WA 98584-9341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00018636 (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.
Another provider at this address
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About NPI 1649398892
Carol S. Gardner, LMP's National Provider Identifier is 1649398892, issued on Mar 27, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Shelton, WA. The record was last updated on Jul 8, 2007.