1. Home
  2. Directory
  3. Washington
  4. Bonney Lake
  5. Massage Therapist
  6. NPI Profile

MR. CHARLES RANDOLPH FISK LMP
NPI 1275719494
Massage Therapist in Bonney Lake, WA

Active since January 17, 2008
18124 114TH ST E, BONNEY LAKE, WA 98391(253) 229-5819 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Charles Randolph Fisk Lmp NPPES

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

MR. CHARLES RANDOLPH FISK LMP (NPI 1275719494) is an individual massage therapist in Bonney Lake, Washington, licensed in Washington (MA00017977) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1275719494
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. CHARLES RANDOLPH FISKCredential: LMP
Location Address18124 114TH ST EBonney Lake, WA 98391-5168
Mailing Address18124 114th St EBonney Lake, WA 98391-5168 · (253) 229-5819
Phone(253) 229-5819
Sole ProprietorYes
Enumeration DateJanuary 17, 2008
Last NPPES UpdateNovember 18, 2010
✔ NPI 1275719494 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 · MA00017977
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.

18124 114TH ST E, Bonney Lake, WA 98391
Open in Google Maps ↗

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 Charles Fisk's NPI number?

The NPI number for Charles Fisk is 1275719494. It was assigned to this individual provider in the NPPES registry on January 17, 2008.

Where is Charles Fisk located?

Charles Fisk practices at 18124 114th St E, Bonney Lake, WA 98391. The listed phone number is (253) 229-5819.

What is Charles Fisk'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 Charles Fisk was last updated on November 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.