Individual provider · Type 1 NPI

Antonio Clyburn Sr., MT

Massage Therapist · Newcastle, WA

NPI number 1881130995 Active

Practice location

6985 Coal Creek Pkwy SE
Newcastle, WA 98059-3136

Call (425) 378-0500 Map

Fax (425) 378-8168

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60698755 (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 1881130995

Antonio Clyburn Sr., MT's National Provider Identifier is 1881130995, issued on Jan 12, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Newcastle, WA. The record was last updated on Jan 12, 2017.