person
Mr. Michael Gibbons, LMP
Massage Therapist in Bonney Lake, Washington
NPI 1083825905

Michael Gibbons is a Massage Therapist based in Puyallup, WA. Michael Gibbons practices in Bonney Lake, WA and has the professional credentials of LMP. The NPI Number for Michael Gibbons is 1083825905 and holds a License No. MA00013609 (Washington).

The current practice location address for Michael Gibbons is 19102 State Route 410 E Ste A, Bonney Lake, WA and can be reached out via phone at 253-863-6378 and via fax at 253-863-6429.

Location: 19102 State Route 410 E Ste A, Bonney Lake, WA, 98371-0204
person
Provider Profile Details
NPI Number
1083825905
Provider Name
Michael Gibbons
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
19102 State Route 410 E Ste A, Bonney Lake, WA, 98371-0204
Phone Number
253-863-6378
Fax Number
253-863-6429
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4188GI 01 WA REGENCE
institution
Provider Business Practice Location Address Details
Address
19102 State Route 410 E Ste A
City
State
Zip
98391-8449
Phone Number
253-863-6378
Fax Number
253-863-6429
person
Provider Business Mailing Address Details
Address
19102 State Route 410 E Ste A
City
State
Zip
98391-8449
Phone Number
253-863-6378
Fax Number
253-863-6429
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00013609 (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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