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Gary Lyle Trout, LMP
Massage Therapist in Vancouver, Washington
NPI 1083012686

Gary Lyle Trout is a Massage Therapist based in Vancouver, WA. Gary Lyle Trout practices in Vancouver, WA and has the professional credentials of LMP. The NPI Number for Gary Lyle Trout is 1083012686 and holds a License No. MA60496635 (Washington).

The current practice location address for Gary Lyle Trout is 16111 Se Mcgillivray Blvd, Vancouver, WA and can be reached out via phone at 360-254-0994 and via fax at 360-254-0930.

Location: 16111 Se Mcgillivray Blvd, Vancouver, WA, 98683-9033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083012686
Provider Name
Gary Lyle Trout
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
16111 Se Mcgillivray Blvd, Vancouver, WA, 98683-9033
Phone Number
360-254-0994
Fax Number
360-254-0930
Provider Enumeration Date
12/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16111 Se Mcgillivray Blvd
City
Vancouver
State
Washington
Zip
98683-9033
Phone Number
360-254-0994
Fax Number
360-254-0930
person
Provider Business Mailing Address Details
Address
16111 Se Mcgillivray Blvd
City
Vancouver
State
Washington
Zip
98683-9033
Phone Number
360-254-0994
Fax Number
360-254-0930
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60496635 (Washington)
Definition
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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