OWEN WISE MBA NPI 1710432620

NPI Information

  • NPI: 1710432620
  • Provider Name: OWEN WISE, MBA
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 8730 TALLON LN NE STE 104
    LACEY, WA
    ZIP 98516
  • Phone: (360) 489-0223

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NPI Details

Owen Wise, MBA is a massage therapist in Lacey, 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. Owen Wise, MBA NPI is 1710432620. 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:

8730 TALLON LN NE STE 104
LACEY, WA
ZIP 98516-609
Phone: (360) 489-0223
Fax: (800) 689-1254

The enumeration date for this NPI number is 8/20/2016 and was last updated on 8/20/2016.

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
1225700000XMassage TherapistMA60604556WASHINGTONYes

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
1MA60604556OTHERWASHINGTONWA DOH

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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