NPI 1306061171

Laurie D. Carlson

Practitioner Mechanotherapist Gig Harbor, WA

Practice location

Address: 14619 Purdy Dr NW, Gig Harbor, WA 98332-8708
Phone: (253) 278-7367
Mailing address: PO Box 596, Wauna, WA 98395-0596

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA00017290 (WA)

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Registry record

NPI: 1306061171
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2007
Record last updated: 8 Jul 2007

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.