COLLEEN K DEVERAUX LMP
NPI 1669592937
Massage Therapist in Covington, WA
Active since March 30, 2007
16720 SE 271ST ST, STE 200, COVINGTON, WA 98022(253) 630-5808(253) 630-6438 Get Directions Write a Review
About Colleen K Deveraux Lmp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN K DEVERAUX LMP (NPI 1669592937) is an individual massage therapist in Covington, Washington, licensed in Washington (MA00014516) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1669592937
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCOLLEEN K DEVERAUXCredential: LMP
Location Address16720 SE 271ST ST, STE 200Covington, WA 98022
Mailing Address26837 Maple Valley Hwy, #200Maple Valley, WA 98038 · (425) 413-4427 · Fax (425) 413-4429
Phone(253) 630-5808
Fax(253) 630-6438
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669592937 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 · MA00014516
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.
16720 SE 271ST ST, Covington, WA 98022
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669592937, enumerated as an "individual" on March 30, 2007.
The provider is located at 16720 SE 271ST ST STE 200 COVINGTON, WA 98022 and the phone number is (253) 630-5808.
Massage Therapist with taxonomy code 225700000X.
