IndividualActive
Andrey Khabibrakhmanov
NPI 1235875055 · Massage Therapist · Washougal, WA
Provider details
- NPI number
- 1235875055
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA61270218 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
939 W T St
Washougal, WA 98671-5161
Phone: (360) 773-0534
Street-level locationGet directions
Mailing address
939 W T St
Washougal, WA 98671-5161
Registry dates
- Enumerated
- 2022-05-05
- Last updated
- 2022-05-05
- Certified
- 2022-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.