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Antonio Clyburn SR., MT
Massage Therapist in Newcastle, Washington
NPI 1881130995

Antonio Clyburn SR. is a Massage Therapist based in Bolingbrook, WA. Antonio Clyburn SR. practices in Newcastle, WA and has the professional credentials of MT. The NPI Number for Antonio Clyburn SR. is 1881130995 and holds a License No. MA60698755 (Washington).

The current practice location address for Antonio Clyburn SR. is 6985 Coal Creek Pkwy Se, Newcastle, WA and can be reached out via phone at 425-378-0500 and via fax at 425-378-8168.

Location: 6985 Coal Creek Pkwy Se, Newcastle, WA, 60440-4909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881130995
Provider Name
Antonio Clyburn SR.
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
6985 Coal Creek Pkwy Se, Newcastle, WA, 60440-4909
Phone Number
425-378-0500
Fax Number
425-378-8168
Provider Enumeration Date
01/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6985 Coal Creek Pkwy Se
City
Newcastle
State
Washington
Zip
98059-3136
Phone Number
425-378-0500
Fax Number
425-378-8168
person
Provider Business Mailing Address Details
Address
6985 Coal Creek Pkwy Se
City
Newcastle
State
Washington
Zip
98059-3136
Phone Number
425-378-0500
Fax Number
425-378-8168
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60698755 (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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