Individual provider · Type 1 NPI

Daniel Ilwoo Park, LMP

Massage Therapist · Mill Creek, WA

NPI number 1699054577 Active

Practice location

15433 Country Club Dr, Unit A206
Mill Creek, WA 98012-1260

Mailing address

PO Box 13524
Mill Creek, WA 98082-1524

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60240620 (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 1699054577

Daniel Ilwoo Park, LMP's National Provider Identifier is 1699054577, issued on Aug 10, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mill Creek, WA. The record was last updated on Aug 10, 2011.