Individual provider · Type 1 NPI

Clint Rex Burgener, LMP

Massage Therapist · Walla Walla, WA

NPI number 1477834711 Active

Practice location

20 E Poplar St Ste 206
Walla Walla, WA 99362-3099

Call (509) 527-1156 Map

Fax (509) 522-4933

Mailing address

53495 E Ballou Rd
Milton Freewater, OR 97862-7400

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60237216 (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 1477834711

Clint Rex Burgener, LMP's National Provider Identifier is 1477834711, issued on Aug 31, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Walla Walla, WA. The record was last updated on Aug 31, 2011.