Individual provider · Type 1 NPI

Michael Levell Cornelious Jr., MA, 60528786

Massage Therapist · Tacoma, WA

NPI number 1891259040 Active

Practice location

701 S 19th St
Tacoma, WA 98405-4426

Call (253) 223-4221 Map

Other practice locations

  • 701 S 19th St, Tacoma, WA 98405-4426 · (253) 223-4221

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X60528786 (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 1891259040

Michael Levell Cornelious Jr., MA, 60528786's National Provider Identifier is 1891259040, issued on Jan 22, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tacoma, WA. The record was last updated on Jan 22, 2019.