NORTHWEST THERAPEUTIC MASSAGE
NPI 1619365830
Specialist in University Place, WA

Active since December 23, 2014
4113 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466(253) 564-5828(253) 564-0115 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northwest Therapeutic Massage NPPES

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

NORTHWEST THERAPEUTIC MASSAGE (NPI 1619365830) is a healthcare organization registered as a specialist in University Place, Washington and active in the NPI registry since December 2014. The organization lists Bruce Corns, Owner/massage Therapist, as its authorized official.

NPPES Registry Identity

NPI1619365830
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHWEST THERAPEUTIC MASSAGE
Location Address4113 BRIDGEPORT WAY W STE BUniversity Place, WA 98466-4325
Mailing Address4113 Bridgeport Way W Ste BUniversity Place, WA 98466-4325 · (253) 564-5828 · Fax (253) 564-0115
Fax(253) 564-0115
Organization SubpartNo
Authorized OfficialBruce CornsOwner/massage Therapist · (253) 564-5828
Enumeration DateDecember 23, 2014
NPI 1619365830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · 60401382
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4113 BRIDGEPORT WAY W STE B, University Place, WA 98466

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.

Mechanotherapist
4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Massage Therapist
4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Massage Therapist
4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Mechanotherapist
4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Specialist
4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Massage Therapist
4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466
Specialist
4113 BRIDGEPORT WAY W STE B
UNIVERSITY PLACE, WA 98466

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 Northwest Therapeutic Massage's NPI number?

The NPI number for Northwest Therapeutic Massage is 1619365830. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Northwest Therapeutic Massage located?

Northwest Therapeutic Massage is located at 4113 Bridgeport Way W Ste B, University Place, WA 98466. The listed phone number is (253) 564-5828.

What is Northwest Therapeutic Massage's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northwest Therapeutic Massage was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.