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Robert Portello, LMP
Massage Therapist in Puyallup, Washington
NPI 1831133099

Robert Portello is a Massage Therapist based in Lakewood, WA. Robert Portello practices in Puyallup, WA and has the professional credentials of LMP. The NPI Number for Robert Portello is 1831133099 and holds a License No. MA00014112 (Washington).

The current practice location address for Robert Portello is 17520 Meridian E, Puyallup, WA and can be reached out via phone at 253-864-7595 and via fax at 253-864-0457. You can also correspond with Robert Portello through the mailing address at 9315 GRAVELLY LAKE DR SW, LAKEWOOD, WA - 98499-1574 (mailing address contact number: 253-581-5200).

Location: 17520 Meridian E, Puyallup, WA, 98499-1574
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Provider Profile Details
NPI Number
1831133099
Provider Name
Robert Portello
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
17520 Meridian E, Puyallup, WA, 98499-1574
Phone Number
253-864-7595
Fax Number
253-864-0457
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7727PO 01 WA REGENCE BLUESHIELD
8938246 01 WA L&I CRIME VICTIMS PROGRAM
142460 01 WA LABOR & INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
17520 Meridian E
City
State
Zip
98375-6265
Phone Number
253-864-7595
Fax Number
253-864-0457
person
Provider Business Mailing Address Details
Address
17520 Meridian E
City
State
Zip
98375-6265
Phone Number
253-864-7595
Fax Number
253-864-0457
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00014112 (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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