Individual provider · Type 1 NPI

Thomas Robert Divis, LMT

Massage Therapist · Redmond, WA

NPI number 1508368127 Active

Practice location

15436 Bel Red Rd
Redmond, WA 98052-5536

Mailing address

16255 NE 27th St
Bellevue, WA 98008-2209

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60706487 (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 1508368127

Thomas Robert Divis, LMT's National Provider Identifier is 1508368127, issued on Feb 28, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Redmond, WA. The record was last updated on Feb 28, 2018.