Individual provider · Type 1 NPI

Paul Kenneth Davis, LMP

Massage Therapist · Yelm, WA

NPI number 1750435574 Active

Practice location

715 Yelm Avenue West, Suite # 5
Yelm, WA 98597

Call (360) 458-2225 Map

Fax (360) 458-3663

Mailing address

14934 Prairie Vista Loop SE
Yelm, WA 98597-8722

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00008580 (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 1750435574

Paul Kenneth Davis, LMP's National Provider Identifier is 1750435574, issued on Jan 22, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yelm, WA. The record was last updated on Jul 8, 2007.