Individual provider · Type 1 NPI

Colleen K. Deveraux, LMP

Massage Therapist · Covington, WA

NPI number 1669592937 Active

Practice location

16720 SE 271st St, Ste 200
Covington, WA 98022

Fax (253) 630-6438

Mailing address

26837 Maple Valley Hwy, #200
Maple Valley, WA 98038

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00014516 (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 1669592937

Colleen K. Deveraux, LMP's National Provider Identifier is 1669592937, issued on Mar 30, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Covington, WA. The record was last updated on Jul 8, 2007.