Individual provider · Type 1 NPI
Charles Ryan Fetters, LMT
Massage Therapist · Renton, WA
NPI number
1346648367
Active
Practice location
704 S 3rd St., Suite B5
Renton, WA 98057-2553
Mailing address
1201 Thomas Lane, #6
Renton, WA 98055-3536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60306672 (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 1346648367
Charles Ryan Fetters, LMT's National Provider Identifier is 1346648367, issued on Dec 8, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Renton, WA. The record was last updated on May 16, 2025.