Logan Tyler Camacho
Individual provider Active NPI Massage Therapist · Zillah, WA
NPI 1023976552 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1023976552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA70069288 (WA)
- Practice address
- 607 1St Ave
Zillah, WA 98953-9433 - Phone
- (509) 829-5757
- Fax
- (509) 829-5051
- NPI assigned
- Jan 13, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA70069288 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delp Chiropractic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA70069288 | WA | Yes |
Addresses
Primary practice location
607 1St Ave
Zillah, WA 98953-9433
Mailing address
PO Box 504
Zillah, WA 98953-0504
Other providers in Zillah, WA
- B. Martin DMD PLLC
- Pamela D Bartz
- Brandon Bischoff
- Scott James Carmack
- Sherry Denise Castilleja
- Andrew Reed Daley
- Jonathan Acob Davenport
- Rita Miranda Davis
All providers in Zillah, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.