Rendall Davis, LMT
Individual provider Active NPI Massage Therapist · Sumner, WA
NPI 1760960488 · NPPES record last updated Aug 3, 2018
Key facts
- NPI
- 1760960488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60597582 (WA)
- Practice address
- 16101 64TH St E
Sumner, WA 98390-3069 - Phone
- (253) 750-0453
- Fax
- (253) 750-3129
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- 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 |
|---|---|---|---|
| MA60597582 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60597582 | WA | Yes |
Addresses
Primary practice location
16101 64TH St E
Sumner, WA 98390-3069
Mailing address
6050 Tacoma Mall Blvd Ste 300
Tacoma, WA 98409-6828
Phone (253) 581-5200
Other providers in Sumner, WA
- Cornerstone Medical Clinic
- Cranedds PLLC
- Mackenzie Cronk
- Alicia Culp
- Benigno Waldo A Dagan
- Donald Waymon Dennis Jr.
- Tessa Dunbar
- Dynacare Northwest Inc
- Rolf Melker Edlund
- Annbell Edmond
All providers in Sumner, 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 3, 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.