Individual provider · Type 1 NPI

Sunrise Moonshadow Coulter, LMT, LMP

Massage Therapist · Sequim, WA

NPI number 1811323801 Active

Practice location

542 N 5th Ave
Sequim, WA 98382-3079

Call (360) 683-7911 Map

Mailing address

PO Box 853
Port Townsend, WA 98368-0853

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X18466 (OR)
Massage Therapist Primary 225700000XMA60408973 (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 1811323801

Sunrise Moonshadow Coulter, LMT, LMP's National Provider Identifier is 1811323801, issued on Sep 23, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sequim, WA. The record was last updated on Sep 23, 2013.