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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 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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- Jesse PayneMassage Therapist Seattle, WA NPI 1003197823
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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.