Individual provider · Type 1 NPI

Stephen Fuller, LMP

Massage Therapist · Des Moines, WA

NPI number 1104217033 Active

Practice location

22021 7th Ave S, Suite 3
Des Moines, WA 98198-6218

Call (206) 429-2782 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60015141 (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 1104217033

Stephen Fuller, LMP's National Provider Identifier is 1104217033, issued on Feb 13, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Des Moines, WA. The record was last updated on Feb 13, 2015.