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Gideon Newkirk
Massage Therapist in Centralia, Washington
NPI 1548670409

Gideon Newkirk is a Massage Therapist based in Centralia, WA. Gideon Newkirk practices in Centralia, WA. The NPI Number for Gideon Newkirk is 1548670409 and holds a License No. MA 60414378 (Washington).

The current practice location address for Gideon Newkirk is 802 W Main St, Centralia, WA and can be reached out via phone at 360-736-6263.

Location: 802 W Main St, Centralia, WA, 98531-2044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548670409
Provider Name
Gideon Newkirk
Credential
Provider Entity Type
Individual
Gender
Male
Address
802 W Main St, Centralia, WA, 98531-2044
Phone Number
360-736-6263
Fax Number
Provider Enumeration Date
05/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
802 W Main St
City
Centralia
State
Washington
Zip
98531-2849
Phone Number
360-736-6263
Fax Number
person
Provider Business Mailing Address Details
Address
802 W Main St
City
Centralia
State
Washington
Zip
98531-2849
Phone Number
360-736-6263
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 60414378 (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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