Individual provider · Type 1 NPI

Michael Gibbons, LMP

Massage Therapist · Bonney Lake, WA

NPI number 1083825905 Active

Practice location

19102 State Route 410 E Ste A
Bonney Lake, WA 98391-8449

Call (253) 863-6378 Map

Fax (253) 863-6429

Mailing address

P.o. Box 1413
Puyallup, WA 98371-0204

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00013609 (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 1083825905

Michael Gibbons, LMP's National Provider Identifier is 1083825905, issued on May 24, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bonney Lake, WA. The record was last updated on Jul 8, 2007.