Individual provider · Type 1 NPI
Michael R. Petek, LMP
Massage Therapist · Spokane, WA
NPI number
1336360775
Active
Practice location
2918 N Argonne Rd
Spokane, WA 99212-2150
Mailing address
3424 W Queen Pl
Spokane, WA 99205-5968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00022186 (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 1336360775
Michael R. Petek, LMP's National Provider Identifier is 1336360775, issued on May 2, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spokane, WA. The record was last updated on Jul 8, 2007.