Individual provider · Type 1 NPI
Mistinique J. Fuller, RN, LMP
Nurse Massage Therapist (NMT) · Othello, WA
NPI number
1457736944
Active
Practice location
1100 E Main St Ste A
Othello, WA 99344-1587
Mailing address
1968 W Muse Rd
Othello, WA 99344-9757
Other practice locations
- 1968 W Muse Rd, Othello, WA 99344-9757 · (509) 770-4067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | RN60154916 (WA) |
Nurse Massage Therapist (NMT): Definition to come...
Other nurse massage therapist (nmt) providers in Othello
About NPI 1457736944
Mistinique J. Fuller, RN, LMP's National Provider Identifier is 1457736944, issued on Jul 25, 2015. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Othello, WA. The record was last updated on Oct 5, 2021.