Individual provider · Type 1 NPI

Justin Lamont Traver, LMP

Massage Therapist · Kenmore, WA

NPI number 1992963250 Active

Practice location

6505 NE 182nd St, Apt. 201
Kenmore, WA 98028-4871

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X549495-07 (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 1992963250

Justin Lamont Traver, LMP's National Provider Identifier is 1992963250, issued on May 23, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenmore, WA. The record was last updated on May 23, 2008.