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Gary Edward Black, LMP
Massage Therapist in Tumwater, Washington
NPI 1427452572

Gary Edward Black is a Massage Therapist based in Winlock, WA. Gary Edward Black practices in Tumwater, WA and has the professional credentials of LMP. The NPI Number for Gary Edward Black is 1427452572 and holds a License No. MA 60326924 (Washington).

The current practice location address for Gary Edward Black is 205 Clark Pl Se, Tumwater, WA and can be reached out via phone at 360-570-0401.

Location: 205 Clark Pl Se, Tumwater, WA, 98596-9731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427452572
Provider Name
Gary Edward Black
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
205 Clark Pl Se, Tumwater, WA, 98596-9731
Phone Number
360-570-0401
Fax Number
Provider Enumeration Date
10/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 Clark Pl Se
City
Tumwater
State
Washington
Zip
98501-4062
Phone Number
360-570-0401
Fax Number
person
Provider Business Mailing Address Details
Address
205 Clark Pl Se
City
Tumwater
State
Washington
Zip
98501-4062
Phone Number
360-570-0401
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 60326924 (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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