Sean Thomas Robinson

Individual provider Active NPI Massage Therapist · Fall City, WA

NPI 1740729003 · NPPES record last updated Feb 20, 2017

Key facts

NPI
1740729003
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA60714382 (WA)
Practice address
4224 278TH Ave SE
Fall City, WA 98024-7007
Phone
(425) 691-7978
NPI assigned
Feb 20, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA60714382WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60714382 WA Yes

Addresses

Primary practice location

4224 278TH Ave SE
Fall City, WA 98024-7007

Mailing address

4224 278TH Ave SE
Fall City, WA 98024-7007
Phone (425) 691-7978

Other providers in Fall City, WA

All providers in Fall City, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.