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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 549495-07 (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.