Individual provider · Type 1 NPI

Charles Martin Errusard Deville Ii, LMP

Massage Therapist · Bellevue, WA

NPI number 1750671012 Active

Practice location

4729 149th Ave SE
Bellevue, WA 98006-3127

Call (425) 647-4231 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60163281 (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 1750671012

Charles Martin Errusard Deville Ii, LMP's National Provider Identifier is 1750671012, issued on Apr 7, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellevue, WA. The record was last updated on Apr 7, 2011.