DICK DUANE POULIOT LMP NPI 1164565701

NPI Information

NPI: 1164565701
Provider Name: DICK DUANE POULIOT, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address: 1818 GROVE ST # A
MARYSVILLE, WA
ZIP 98270
Phone: (425) 280-1008

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NPI Details

Dick Duane Pouliot, LMP is a massage therapist in Marysville, 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. Dick Duane Pouliot, LMP NPI is 1164565701. 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:

1818 GROVE ST # A
MARYSVILLE, WA
ZIP 98270-330
Phone: (425) 280-1008

The enumeration date for this NPI number is 2/14/2007 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		M00004930	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PO9881	OTHER	WASHINGTON	REGENCE BLUE SHIELD NUM.
2	54890	OTHER	WASHINGTON	L&I NUMBER

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: 11/21/2025

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