IndividualActive
Crystal Lake, LMT
NPI 1508344383 · Massage Therapist · Sumner, WA
Provider details
- NPI number
- 1508344383
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- MA60879902 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5814 Graham Ave Ste 101
Sumner, WA 98390-2728
Phone: (253) 891-7093
Fax: (951) 973-7216
Approximate (ZIP-level) locationGet directions
Mailing address
5814 Graham Ave Ste 101
Sumner, WA 98390-2728
Registry dates
- Enumerated
- 2018-08-02
- Last updated
- 2018-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.