Individual provider · Type 1 NPI

Logan Tyler Camacho

Massage Therapist · Zillah, WA

NPI number 1023976552 Active

Practice location

607 1st Ave
Zillah, WA 98953-9433

Fax (509) 829-5051

Mailing address

PO Box 504
Zillah, WA 98953-0504

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA70069288 (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 1023976552

Logan Tyler Camacho's National Provider Identifier is 1023976552, issued on Jan 13, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Zillah, WA. The record was last updated on Jan 13, 2026.