Terrance Borek, LMP

Individual provider Active NPI Massage Therapist · Steilacoom, WA

NPI 1982140026 · NPPES record last updated Feb 19, 2017

Key facts

NPI
1982140026
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00005884 (WA)
Practice address
215 Wilkes St
# 104
Steilacoom, WA 98388-2125
Phone
(253) 248-7888
NPI assigned
Jan 12, 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
MA00005884WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00005884 WA Yes

Addresses

Primary practice location

215 Wilkes St
# 104
Steilacoom, WA 98388-2125

Mailing address

215 Wilkes St
# 104
Steilacoom, WA 98388-2125
Phone (253) 248-7888

Other providers in Steilacoom, WA

All providers in Steilacoom, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.