MR. CHARLES MARTIN ERRUSARD DEVILLE II LMP
NPI 1750671012
Massage Therapist in Bellevue, WA
- Individual
- Male
- Massage Therapist
About CHARLES DEVILLE
This page provides the complete NPI Profile along with additional information for Charles Deville, a provider established in Bellevue, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1750671012 assigned on April 2011. The practitioner's primary taxonomy code is 225700000X with license number MA60163281 (WA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1750671012 Verify this NPI
- Provider Name
- MR. CHARLES MARTIN ERRUSARD DEVILLE II LMP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4729 149TH AVE SE BELLEVUE, WA 98006
- Location Phone
- (425) 647-4231
- Mailing Address
- 4729 149TH AVE SE BELLEVUE, WA 98006
- Mailing Phone
- (425) 647-4231
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-07-2011
- Last Update Date
- 04-07-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA60163281
- License State
- WA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750671012, enumerated as an "individual" on April 07, 2011.
The provider is located at 4729 149TH AVE SE BELLEVUE, WA 98006 and the phone number is (425) 647-4231.
Massage Therapist with taxonomy code 225700000X.
