Provider Demographics
NPI:1558781658
Name:MCCARTHY, SCARLET LENETTE (LMP)
Entity Type:Individual
Prefix:
First Name:SCARLET
Middle Name:LENETTE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11921 CANYON RD E
Mailing Address - Street 2:SUITE A
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4403
Mailing Address - Country:US
Mailing Address - Phone:253-970-8256
Mailing Address - Fax:253-604-4450
Practice Address - Street 1:11921 CANYON RD E
Practice Address - Street 2:SUITE A
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-4403
Practice Address - Country:US
Practice Address - Phone:253-970-8256
Practice Address - Fax:253-604-4450
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60459625225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist