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Ricky L Penney, LMP
Massage Therapist in Kingston, Washington
NPI 1801272059

Ricky L Penney is a Massage Therapist based in Kingston, WA. Ricky L Penney practices in Kingston, WA and has the professional credentials of LMP. The NPI Number for Ricky L Penney is 1801272059 and holds a License No. MA60537617 (Washington).

The current practice location address for Ricky L Penney is 8202 Ne State Highway 104, Kingston, WA and can be reached out via phone at 360-297-0037 and via fax at 360-297-0420.

Location: 8202 Ne State Highway 104, Kingston, WA, 98346-9454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801272059
Provider Name
Ricky L Penney
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
8202 Ne State Highway 104, Kingston, WA, 98346-9454
Phone Number
360-297-0037
Fax Number
360-297-0420
Provider Enumeration Date
08/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8202 Ne State Highway 104
City
Kingston
State
Washington
Zip
98346-9454
Phone Number
360-297-0037
Fax Number
360-297-0420
person
Provider Business Mailing Address Details
Address
8202 Ne State Highway 104
City
Kingston
State
Washington
Zip
98346-9454
Phone Number
360-297-0037
Fax Number
360-297-0420
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60537617 (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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