BONNEY LAKE CLINICAL MASSAGE LLC NPI 1356672216

NPI Information

NPI: 1356672216
Provider Name: BONNEY LAKE CLINICAL MASSAGE LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
21157 STATE ROUTE 410 E
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 862-4441
Get Directions

BONNEY LAKE CLINICAL MASSAGE LLC is a massage therapist in Bonney Lake, 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. BONNEY LAKE CLINICAL MASSAGE LLC NPI is 1356672216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21157 STATE ROUTE 410 E
BONNEY LAKE, WA
ZIP 98391-457
Phone: (253) 862-4441

The provider's authorized official is Kristen Sisco .
The authorized official title is Member Llc and has the following contact phone number (253) 862-4441.

The enumeration date for this NPI number is 1/15/2010 and was last updated on 1/15/2010.

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				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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »