MR. CHARLES WALLACE NIESEN III LMP
NPI 1407048903
Massage Therapist in Port Orchard, WA

Q: What is Charles Niesen's NPI number?

The NPI number for Charles Niesen is 1407048903. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Q: What is Charles Niesen'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 Charles Niesen was last updated on August 17, 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 August 17, 2007

7950 STATE HIGHWAY 3 SW, PORT ORCHARD, WA 98367(360) 801-1295 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Charles Wallace Niesen Iii Lmp NPPES

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

MR. CHARLES WALLACE NIESEN III LMP (NPI 1407048903) is an individual massage therapist in Port Orchard, Washington, licensed in Washington (MA00018507) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1407048903

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. CHARLES WALLACE NIESEN IIICredential: LMP

Location Address7950 STATE HIGHWAY 3 SWPort Orchard, WA 98367-9149

Mailing AddressPo Box 252Belfair, WA 98528-0252 · (360) 801-1295

Phone(360) 801-1295

Sole ProprietorYes

Enumeration DateAugust 17, 2007

✔ NPI 1407048903 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 · MA00018507

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.

7950 STATE HIGHWAY 3 SW, Port Orchard, WA 98367

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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 Niesen's NPI number?

The NPI number for Charles Niesen is 1407048903. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Charles Niesen located?

Charles Niesen practices at 7950 State Highway 3 SW, Port Orchard, WA 98367. The listed phone number is (360) 801-1295.

What is Charles Niesen'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 Niesen was last updated on August 17, 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.