IndividualActive
Charles Niesen, LMP
NPI 1407048903 · Massage Therapist · Port Orchard, WA
Provider details
- NPI number
- 1407048903
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA00018507 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
7950 State Highway 3 Sw
Port Orchard, WA 98367-9149
Phone: (360) 801-1295
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 252
Belfair, WA 98528-0252
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2007-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.