Individual provider · Type 1 NPI
Dick Duane Pouliot, LMP
Massage Therapist · Marysville, WA
NPI number
1164565701
Active
Practice location
1818 Grove St # A
Marysville, WA 98270-4330
Mailing address
10218 60th St SE
Snohomish, WA 98290-1016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M00004930 (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 1164565701
Dick Duane Pouliot, LMP's National Provider Identifier is 1164565701, issued on Feb 14, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Marysville, WA. The record was last updated on Jul 8, 2007.