Individual provider · Type 1 NPI

David Ivan Kistol, LMP

Massage Therapist · Federal Way, WA

NPI number 1881058006 Active

Practice location

36907 5th Ave SW
Federal Way, WA 98023-7346

Call (206) 446-4740 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60622265 (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 1881058006

David Ivan Kistol, LMP's National Provider Identifier is 1881058006, issued on Apr 13, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Federal Way, WA. The record was last updated on Apr 13, 2016.