MR. KYLE S BRISTOW LMP - NPI 1245508498 - Massage Therapist in Fircrest, WA

Q: What is the provider's specialty?

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

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About Mr. Kyle S Bristow Lmp NPPES

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

MR. KYLE S BRISTOW LMP (NPI 1245508498) is an individual massage therapist in Fircrest, Washington, licensed in Washington (MA60141206) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1245508498

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. KYLE S BRISTOWCredential: LMP

Location Address1033 REGENTS BLVD, SUITE 204Fircrest, WA 98466-6045

Mailing Address1033 Regents Blvd, Suite 204Fircrest, WA 98466-6045 · (253) 564-1288 · Fax (253) 564-1752

Phone(253) 564-1288

Fax(253) 564-1752

Sole ProprietorNo

Enumeration DateDecember 2, 2011

Last NPPES UpdateApril 4, 2012

✔ NPI 1245508498 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 · MA60141206

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.

1033 REGENTS BLVD, Fircrest, WA 98466

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