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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00014516 (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.