Individual provider · Type 1 NPI

Malissa A. Brockus, LMT

Massage Therapist · Colville, WA

NPI number 1245795764 Active

Practice location

344 N Main St Ste 106
Colville, WA 99114-2344

Call (509) 684-2755 Map

Fax (509) 684-3882

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60919489 (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 1245795764

Malissa A. Brockus, LMT's National Provider Identifier is 1245795764, issued on Feb 8, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colville, WA. The record was last updated on Feb 8, 2019.