NPI 1003054651
Carissa Ann Jacobsen, LMP
Practice location
- Address
- 460 NE 70th Street, Seattle, WA 98115
- Phone
- (206) 522-4000
- Mailing address
- P.O. Box 262, N. Lakewood, WA 98259
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1003054651
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Feb 2009
- Record last updated
- 4 Feb 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.