RANDALL WEAVER LMT NPI 1104289776

NPI Information

NPI: 1104289776
Provider Name: RANDALL WEAVER, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
222 E 26TH ST STE 103
TACOMA, WA
ZIP 98421
Phone: (253) 254-6696
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Randall Weaver, LMT is a massage therapist in Tacoma, 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. Randall Weaver, LMT NPI is 1104289776. 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:

222 E 26TH ST STE 103
TACOMA, WA
ZIP 98421-102
Phone: (253) 254-6696
Fax: (253) 367-3695

The enumeration date for this NPI number is 4/1/2016 and was last updated on 11/10/2023.

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		MA60612054	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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