Logan Tyler Camacho
Massage Therapist in Zillah, WA. Individual provider (NPI-1).
NPI number1023976552
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1023976552
- Entity type
- Individual (NPI-1)
- Name
- Logan Tyler Camacho
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2026
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA70069288 | WA | Yes |
Practice location
607 1st AveZillah, WA 98953-9433
Phone 509-829-5757 · Fax 509-829-5051
Mailing address
Po Box 504Zillah, WA 98953-0504
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