MS. Carol Ann Park, LMP AMTA

NPI #1811198401 in Anacortes, Washington

Provider Information

NPI Number: 1811198401
Entity Type: Individual
Name: MS. Carol Ann Park, LMP AMTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP AMTA
Enumeration Date: May 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1010 5TH ST
Address 2: SUITE 210
City: Anacortes
State: Washington
ZIP Code: 98221
Phone: (360) 420-0703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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