Individual provider · Type 1 NPI

Gary Lyle Trout, LMP

Massage Therapist · Vancouver, WA

NPI number 1083012686 Active

Practice location

16111 SE Mcgillivray Blvd
Vancouver, WA 98683-9033

Call (360) 254-0994 Map

Fax (360) 254-0930

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60496635 (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 1083012686

Gary Lyle Trout, LMP's National Provider Identifier is 1083012686, issued on Dec 12, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Dec 12, 2014.