Individual provider · Type 1 NPI

Jonathan Clough, LMP

Massage Therapist · Olympia, WA

NPI number 1992121537 Active

Practice location

605 11th Ave SE Ste 202
Olympia, WA 98501-2363

Mailing address

17420 Little Tree Ct SE
Yelm, WA 98597-9302

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60303651 (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 1992121537

Jonathan Clough, LMP's National Provider Identifier is 1992121537, issued on Mar 6, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Mar 6, 2014.