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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00018636 (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 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.