Provider Demographics
NPI:1174849970
Name:VOELKER, CARIE LORAINE (MP)
Entity type:Individual
Prefix:
First Name:CARIE
Middle Name:LORAINE
Last Name:VOELKER
Suffix:
Gender:F
Credentials:MP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 N DIVISION ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1411
Mailing Address - Country:US
Mailing Address - Phone:509-863-9167
Mailing Address - Fax:509-413-1931
Practice Address - Street 1:4750 N DIVISION ST
Practice Address - Street 2:SUITE 214
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1411
Practice Address - Country:US
Practice Address - Phone:509-863-9167
Practice Address - Fax:509-413-1931
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60091818225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist