Individual provider · Type 1 NPI
Artyom Nicholas Davenport, LMP
Massage Therapist · Dupont, WA
NPI number
1750609673
Active
Practice location
1100 Station Dr Ste 241
Dupont, WA 98327-9777
Mailing address
2914 N 21st St
Tacoma, WA 98406-7006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60112076 (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 1750609673
Artyom Nicholas Davenport, LMP's National Provider Identifier is 1750609673, issued on May 17, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dupont, WA. The record was last updated on May 17, 2010.