Individual provider · Type 1 NPI

Larry Banning, LMP

Massage Therapist · Issaquah, WA

NPI number 1609141878 Active

Practice location

670 NW Gilman Blvd
Issaquah, WA 98027-2444

Call (425) 427-6562 Map

Mailing address

4488 334th Pl SE
Fall City, WA 98024-5800

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60256849 (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 1609141878

Larry Banning, LMP's National Provider Identifier is 1609141878, issued on Mar 20, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Issaquah, WA. The record was last updated on Mar 20, 2012.