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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60112076 (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.