Individual provider · Type 1 NPI

Melanie Moore Bennett, LMP

Massage Therapist · Tumwater, WA

NPI number 1417022849 Active

Practice location

1610 Bishop Rd SW, Ste 103
Tumwater, WA 98512-7303

Call (360) 459-9000 Map

Fax (360) 459-9183

Mailing address

2728 31st Ct SE
Olympia, WA 98501-3916

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAOOOO6291 (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 1417022849

Melanie Moore Bennett, LMP's National Provider Identifier is 1417022849, issued on Nov 21, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tumwater, WA. The record was last updated on Jul 8, 2007.