NORTHWEST THERAPEUTIC MASSAGE NPI 1619365830

NPI Information

  • NPI: 1619365830
  • Provider Name: NORTHWEST THERAPEUTIC MASSAGE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 4113 BRIDGEPORT WAY W STE B
    UNIVERSITY PLACE, WA
    ZIP 98466
  • Phone: (253) 564-5828

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NPI Details

NORTHWEST THERAPEUTIC MASSAGE is a specialist in University Place, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHWEST THERAPEUTIC MASSAGE NPI is 1619365830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA
ZIP 98466-325
Phone: (253) 564-5828
Fax: (253) 564-0115

The provider's authorized official is Bruce Corns .
The authorized official title is Owner/massage Therapist and has the following contact phone number (253) 564-5828.

The enumeration date for this NPI number is 12/23/2014 and was last updated on 12/23/2014.

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
1174400000XSpecialist60401382WASHINGTONYes

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: 3/30/2025

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