Doctor Name: | MRS. CARA JEANETTE KNOLLES |
NPI Number: | 1598883589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA00022894 |
Business Practice Address: | 15021 Se 177th Pl Apt H Renton, WA - 980589074 |
Business Phone Number: | 2064983826 |
Business Fax Number: | |
Mailing Address: | 15021 Se 177th Pl Apt H, RENTON |
State: | WA |
Postal Code: | 980589074 |
Phone Number: | 2064983826 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00022894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |