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BONNEY LAKE CLINICAL MASSAGE LLC
NPI 1356672216
Massage Therapist in Bonney Lake, WA

Active since January 15, 2010
21157 STATE ROUTE 410 E, BONNEY LAKE, WA 98391(253) 862-4441 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonney Lake Clinical Massage Llc NPPES

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

BONNEY LAKE CLINICAL MASSAGE LLC (NPI 1356672216) is a healthcare organization registered as a massage therapist in Bonney Lake, Washington and active in the NPI registry since January 2010. The organization lists Kristen Sisco, Member Llc, as its authorized official.

NPPES Registry Identity

NPI1356672216
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameBONNEY LAKE CLINICAL MASSAGE LLC
Location Address21157 STATE ROUTE 410 EBonney Lake, WA 98391-8457
Mailing AddressPo Box 757Enumclaw, WA 98022-0757 · (253) 862-4441
Phone(253) 862-4441
Organization SubpartNo
Authorized OfficialKristen SiscoMember Llc · (253) 862-4441
Enumeration DateJanuary 15, 2010
✔ NPI 1356672216 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
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 E, Bonney Lake, WA 98391
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC TONY HECIMOVICH DC
Chiropractor
21157 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2138
SHELBY MARIE CONDON M.A.
Massage Therapist
21157 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2138
MS. PERLA ESTEFANIA SABORIO-RANGEL
Massage Therapist
21157 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 315-9548
LAKE TAPPS CHIROPRACTIC CENTER, L.L.C.
Chiropractor
21157 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2138
BREANNE M GREEN LMP
Massage Therapist
21157 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-4441
KATHLEEN G BORGSTROM LMP
Massage Therapist
21157 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-8590
DR. DANIEL WILLIAM ANDERSON D.C.
Chiropractor
21157 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2138

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 Bonney Lake Clinical Massage LLC's NPI number?

The NPI number for Bonney Lake Clinical Massage LLC is 1356672216. It was assigned to this organization in the NPPES registry on January 15, 2010.

Where is Bonney Lake Clinical Massage LLC located?

Bonney Lake Clinical Massage LLC is located at 21157 State Route 410 E, Bonney Lake, WA 98391. The listed phone number is (253) 862-4441.

What is Bonney Lake Clinical Massage LLC'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 Bonney Lake Clinical Massage LLC was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.