Carrie Deitz
Massage Therapist in Stanwood, WA. Individual provider (NPI-1).
NPI number1295279255
StatusActive
Last updated in NPPESDec 10, 2016
Details
- NPI
- 1295279255
- Entity type
- Individual (NPI-1)
- Name
- Carrie Deitz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2016
- Last updated
- Dec 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 60708337 | WA | Yes |
Other names
- Carrie Derousse (Other Name)
Practice location
7104 265th St Nw Ste 130Stanwood, WA 98292-6250
Phone 206-354-8382
Mailing address
3823 Shore AveEverett, WA 98203-1228
Phone 206-354-8382
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 54 Massage Therapist providers in Stanwood · All 408 providers in Stanwood
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