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Gregory Gerald Mullins, LMT,LPN
Massage Therapist in Vancouver, Washington
NPI 1588213409

Gregory Gerald Mullins is a Massage Therapist based in Kelso, WA. Gregory Gerald Mullins practices in Vancouver, WA and has the professional credentials of LMT,LPN. The NPI Number for Gregory Gerald Mullins is 1588213409 and holds a License No. MA60021990 (Washington).

The current practice location address for Gregory Gerald Mullins is 1409 Franklin St Ste 103, Vancouver, WA and can be reached out via phone at 707-480-4671.

Location: 1409 Franklin St Ste 103, Vancouver, WA, 98626-3417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588213409
Provider Name
Gregory Gerald Mullins
Credential
LMT,LPN
Provider Entity Type
Individual
Gender
Male
Address
1409 Franklin St Ste 103, Vancouver, WA, 98626-3417
Phone Number
707-480-4671
Fax Number
Provider Enumeration Date
09/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MULLIGG369BR 05 WA
institution
Provider Business Practice Location Address Details
Address
1409 Franklin St Ste 103
City
Vancouver
State
Washington
Zip
98660-2860
Phone Number
707-480-4671
Fax Number
person
Provider Business Mailing Address Details
Address
1409 Franklin St Ste 103
City
Vancouver
State
Washington
Zip
98660-2860
Phone Number
707-480-4671
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60021990 (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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