JEFF LEE SISCO LMP
NPI 1164631248
Massage Therapist in Bonney Lake, WA

Q: What is Jeff Sisco's NPI number?

The NPI number for Jeff Sisco is 1164631248. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Jeff Sisco's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Jeff Sisco was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2007

21157 STATE ROUTE 410, BONNEY LAKE, WA 98390(253) 862-8590 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeff Lee Sisco Lmp NPPES

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

JEFF LEE SISCO LMP (NPI 1164631248) is an individual massage therapist in Bonney Lake, Washington, licensed in Washington (MA00009503) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164631248

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameJEFF LEE SISCOCredential: LMP

Location Address21157 STATE ROUTE 410Bonney Lake, WA 98390

Mailing AddressPo Box 1239Enumclaw, WA 98022 · (253) 862-8590

Phone(253) 862-8590

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1164631248 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 · MA00009503

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.

21157 STATE ROUTE 410, Bonney Lake, WA 98390

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Other Identifiers 1

Medicare UPIN107132WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Sisco's NPI number?

The NPI number for Jeff Sisco is 1164631248. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jeff Sisco located?

Jeff Sisco practices at 21157 State Route 410, Bonney Lake, WA 98390. The listed phone number is (253) 862-8590.

What is Jeff Sisco's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jeff Sisco was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.