Individual provider · Type 1 NPI

Charles Randolph Fisk, LMP

Massage Therapist · Bonney Lake, WA

NPI number 1275719494 Active

Practice location

18124 114th St E
Bonney Lake, WA 98391-5168

Call (253) 229-5819 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00017977 (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.

Other massage therapist providers in Bonney Lake

See all in Bonney Lake →

About NPI 1275719494

Charles Randolph Fisk, LMP's National Provider Identifier is 1275719494, issued on Jan 17, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bonney Lake, WA. The record was last updated on Nov 18, 2010.