Gina L Ciarlo, LMP.
Individual provider Active NPI Massage Therapist · Sequim, WA
NPI 1578734604 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1578734604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00011913 (WA)
- Practice address
- 660 W Evergreen Farm Way
#6065
Sequim, WA 98382-5097 - Phone
- (360) 582-9977
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00011913 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avalon Massage & Day Spa | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00011913 | WA | Yes |
Addresses
Primary practice location
660 W Evergreen Farm Way
#6065
Sequim, WA 98382-5097
Mailing address
660 W Evergreen Farm Way
#6065
Sequim, WA 98382-5097
Phone (360) 582-9977
Other providers in Sequim, WA
- Suree Chommuang
- Fangaeo Chowsoun
- Christine M. Nicholson, P.a.
- Wiley James Chubb
- Theresa Ann Churchill
- Clallam County FD 3
- Amy Anne Clark
- Crystal Raylene Clark
- Darcie Clawson
- Peter Clifford
All providers in Sequim, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.