MR. STEPHEN RANDOLPH KNOEFLER L.M.P.
NPI 1396179917
Massage Therapist in Lake Stevens, WA
Active since August 30, 2013
About Mr. Stephen Randolph Knoefler L.m.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STEPHEN RANDOLPH KNOEFLER L.M.P. (NPI 1396179917) is an individual massage therapist in Lake Stevens, Washington, licensed in Washington (MA60408367) and active in the NPI registry since August 2013.
NPPES Registry Identity
NPI1396179917
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. STEPHEN RANDOLPH KNOEFLERCredential: L.M.P.
Location Address11310 36TH ST NELake Stevens, WA 98258-8171
Mailing Address11310 36th St NeLake Stevens, WA 98258-8171 · (425) 512-8848
Phone(425) 512-8848
Sole ProprietorYes
Enumeration DateAugust 30, 2013
✔ NPI 1396179917 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 · MA60408367
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.
11310 36TH ST NE, Lake Stevens, WA 98258
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396179917, enumerated as an "individual" on August 30, 2013.
The provider is located at 11310 36TH ST NE LAKE STEVENS, WA 98258 and the phone number is (425) 512-8848.
Massage Therapist with taxonomy code 225700000X.