MIKHAIL GRUSHKOVSKIY MT NPI 1104028976

NPI Information

NPI: 1104028976
Provider Name: MIKHAIL GRUSHKOVSKIY, MT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
875 140TH AVE NE
STE 202
BELLEVUE, WA
ZIP 98005
Phone: (425) 462-6604
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Mikhail Grushkovskiy, MT is a massage therapist in Bellevue, WA. The provider is 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. Mikhail Grushkovskiy, MT NPI is 1104028976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

875 140TH AVE NE
STE 202
BELLEVUE, WA
ZIP 98005-400
Phone: (425) 462-6604
Fax: (425) 452-3292

The enumeration date for this NPI number is 6/4/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00009482	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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