JAY M MCMULLEN LMT - NPI 1033464961 - Massage Therapist in Kennewick, WA

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Jay M Mcmullen Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY M MCMULLEN LMT (NPI 1033464961) is an individual massage therapist in Kennewick, Washington, licensed in Washington (MA00005692) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1033464961

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameJAY M MCMULLENCredential: LMT

Location Address3121 W KENNEWICK AVEKennewick, WA 99336-2921

Mailing Address3121 W Kennewick AveKennewick, WA 99336-2921

Phone(509) 735-7433

Fax(509) 735-6577

Sole ProprietorNo

Enumeration DateJuly 17, 2012

✔ NPI 1033464961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in WA · MA00005692

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.

3121 W KENNEWICK AVE, Kennewick, WA 99336

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