Carissa Ann Jacobsen
Massage Therapist
460 Ne 70th Street
Seattle
, Washington 98115
Carissa Ann Jacobsen
Massage Therapist
460 Ne 70th Street
Seattle
, Washington 98115
(425) 422-9956
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Carissa Ann Jacobsen
- P.o. Box 262
- N. Lakewood, WA
- Zip : 98259
- Phone : (425) 422-9956
Second Address
- Carissa Ann Jacobsen
- 460 Ne 70th Street
- Seattle, WA
- Zip : 98115
- Phone : (206) 522-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60040731 | WA |
National Provider Identifier
| NPI | 1003054651 |
|---|---|
| Provider Name | Carissa Ann Jacobsen |
| First Address | N. Lakewood, WA 98259 |
| Second Address | Seattle, WA 98115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.