ANTONIO CLYBURN MT NPI 1881130995

NPI Information

  • NPI: 1881130995
  • Provider Name: ANTONIO CLYBURN, MT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 6985 COAL CREEK PKWY SE
    NEWCASTLE, WA
    ZIP 98059
  • Phone: (425) 378-0500

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NPI Details

Antonio Clyburn, MT is a massage therapist in Newcastle, 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. Antonio Clyburn, MT NPI is 1881130995. 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:

6985 COAL CREEK PKWY SE
NEWCASTLE, WA
ZIP 98059-136
Phone: (425) 378-0500
Fax: (425) 378-8168

The enumeration date for this NPI number is 1/12/2017 and was last updated on 1/12/2017.

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 TherapistMA60698755WASHINGTONYes

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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