Individual provider · Type 1 NPI

Brian James Petrich, LMT

Massage Therapist · Port Orchard, WA

NPI number 1003470154 Active

Practice location

1963 Bethel Rd SE
Port Orchard, WA 98366-3108

Mailing address

15769 Sunny Cove Dr SE
Olalla, WA 98359-9594

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60936482 (WA)

Massage Therapist: 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.

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About NPI 1003470154

Brian James Petrich, LMT's National Provider Identifier is 1003470154, issued on Apr 24, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orchard, WA. The record was last updated on Apr 24, 2019.