Individual provider · Type 1 NPI

Stephen C. Bourdeau, LMP

Massage Therapist · Kirkland, WA

NPI number 1598980955 Active

Practice location

11821 NE 128th St, Suite C
Kirkland, WA 98034-7210

Call (425) 285-1250 Map

Fax (425) 285-1255

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00023394 (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 1598980955

Stephen C. Bourdeau, LMP's National Provider Identifier is 1598980955, issued on Apr 13, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kirkland, WA. The record was last updated on Sep 15, 2017.