Individual provider · Type 1 NPI

David Fazio, LMP

Massage Therapist · Bothell, WA

NPI number 1104231000 Active

Practice location

18920 Bothell Way NE, Suite 204
Bothell, WA 98011-1981

Fax (425) 424-2371

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60280463 (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 1104231000

David Fazio, LMP's National Provider Identifier is 1104231000, issued on Jun 30, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bothell, WA. The record was last updated on Jun 30, 2014.