Carol Diane Canterbury, LMT

NPI #1558836106 in Vashon, Washington

Provider Information

NPI Number: 1558836106
Entity Type: Individual
Name: Carol Diane Canterbury, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 10, 2018
Last Updated: Oct 10, 2018

Practice Location

Address: 10350 SW MUKAI CIR
City: Vashon
State: Washington
ZIP Code: 98070-3755
Phone: (206) 218-7552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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