IndividualActive
Gordon Tingle, LMT
NPI 1053909457 · Massage Therapist · Brewster, WA
Provider details
- NPI number
- 1053909457
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25813 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
574 Valley Rd
Brewster, WA 98812-9515
Phone: (707) 867-2094
Street-level locationGet directions
Mailing address
Po Box 203
Monroe, WA 98272-0203
Registry dates
- Enumerated
- 2021-01-02
- Last updated
- 2021-01-02
- Certified
- 2021-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.