Individual provider · Type 1 NPI

Brian B. Bacungan, LMP

Massage Therapist · Seattle, WA

NPI number 1124366596 Active

Practice location

2208 NW Market St, 430B
Seattle, WA 98107-4030

Mailing address

15433 Country Club Dr, A103
Mill Creek, WA 98012-1260

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60320042 (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 1124366596

Brian B. Bacungan, LMP's National Provider Identifier is 1124366596, issued on Jan 19, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Aug 31, 2016.