CAROL B TIEBOUT

SEATTLE, WA
NPI1104032390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WA  MA 12878)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
CAROL B TIEBOUT LMP
4508 S WILLOW ST
SEATTLE, WA 98118-3641
Phone number: 206-322-2926
Mailing Address
CAROL B TIEBOUT LMP
4508 S WILLOW ST
SEATTLE, WA 98118-3641
Phone number: 206-322-2926