Individual provider · Type 1 NPI

Douglas Lee Black, LMP

Massage Therapist · Vancouver, WA

NPI number 1295855138 Active

Practice location

16906 SE 1st St Ste 103
Vancouver, WA 98684-8512

Call (360) 903-9963 Map

Mailing address

6700 NE 162nd Ave Ste 611
Vancouver, WA 98682-3899

Other practice locations

  • 6700 NE 162nd Ave Ste 415, Vancouver, WA 98682-3863 · (360) 903-9963

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00011374 (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 1295855138

Douglas Lee Black, LMP's National Provider Identifier is 1295855138, issued on Mar 31, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 21, 2022.