NPI 1730476300

Mary Carlson, LMT

Practitioner Mechanotherapist San Diego, CA

Practice location

Address: 3023 Bunker Hill St #201, San Diego, CA 92109-5706
Phone: (619) 977-6491

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 5790 (CA)

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Registry record

NPI: 1730476300
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2011
Record last updated: 5 Jul 2011

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.