Individual provider · Type 1 NPI

Michael Everly, LMT

Massage Therapist · Puyallup, WA

NPI number 1093263469 Active

Practice location

10612 Canyon Rd E
Puyallup, WA 98373-4257

Call (253) 302-4817 Map

Mailing address

11414 152nd St E Apt E
Puyallup, WA 98374-9357

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60434761 (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 1093263469

Michael Everly, LMT's National Provider Identifier is 1093263469, issued on Sep 14, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Nov 1, 2021.