Raul Juan Villarruel, LMP
Individual provider Active NPI Massage Therapist · Zillah, WA
NPI 1245719863 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1245719863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60161995 (WA)
- Practice address
- 607 1St Ave
Zillah, WA 98953-9433 - Phone
- (509) 829-5757
- NPI assigned
- Aug 14, 2018
- 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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60161995 | 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 | MA60161995 | WA | Yes |
Addresses
Primary practice location
607 1St Ave
Zillah, WA 98953-9433
Mailing address
PO Box 504
Zillah, WA 98953-0504
Phone (509) 829-5757
Other providers in Zillah, WA
- SHC Medical Center Toppenish
- Tyler J Sheets
- Michael Douglas Stafford
- Total Renal Care Inc
- Leanea Margaret Villafan
- Vintage Valley Pharmacy LLC
- Michael Patrick Woods
- Phylicia Danielle Yorgure
- Zillah Chiropractic Center Inc PS
- Zillah Drug Store Inc
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 Aug 14, 2018. 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.