DWIGHT HENDRICKS LMT NPI 1710542048

NPI Information

  • NPI: 1710542048
  • Provider Name: DWIGHT HENDRICKS, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 2902 164TH STREET SW
    SUITE D1
    LYNNWOOD, WA
    ZIP 98087
  • Phone: (720) 635-6664

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NPI Details

Dwight Hendricks, LMT is a massage therapist in Lynnwood, 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. Dwight Hendricks, LMT NPI is 1710542048. 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:

2902 164TH STREET SW
SUITE D1
LYNNWOOD, WA
ZIP 98087
Phone: (720) 635-6664

The enumeration date for this NPI number is 5/2/2019 and was last updated on 5/2/2019.

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 TherapistMA60926125WASHINGTONYes

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
1MA60926125OTHERWASHINGTONMASSAGE THERAPIST

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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