| NPI | 1932314325 |
|---|---|
| Professional Name | CONNIE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00017684) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA00017684) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2009-08-05 |