person
Mr. Charles Randolph Fisk, LMP
Massage Therapist in Bonney Lake, Washington
NPI 1275719494

Charles Randolph Fisk is a Massage Therapist based in Bonney Lake, WA. Charles Randolph Fisk practices in Bonney Lake, WA and has the professional credentials of LMP. The NPI Number for Charles Randolph Fisk is 1275719494 and holds a License No. MA00017977 (Washington).

The current practice location address for Charles Randolph Fisk is 18124 114Th St E, Bonney Lake, WA and can be reached out via phone at 253-229-5819.

Location: 18124 114Th St E, Bonney Lake, WA, 98391-5168
person
Provider Profile Details
NPI Number
1275719494
Provider Name
Charles Randolph Fisk
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
18124 114Th St E, Bonney Lake, WA, 98391-5168
Phone Number
253-229-5819
Fax Number
Provider Enumeration Date
01/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18124 114Th St E
City
State
Zip
98391-5168
Phone Number
253-229-5819
Fax Number
person
Provider Business Mailing Address Details
Address
18124 114Th St E
City
State
Zip
98391-5168
Phone Number
253-229-5819
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00017977 (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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