Charles Ryan Fetters, LMT
Massage Therapist in Renton, WA. Individual provider (NPI-1).
NPI number1346648367
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1346648367
- Entity type
- Individual (NPI-1)
- Name
- Charles Ryan Fetters
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2014
- Certification date
- May 15, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60306672 | WA | Yes |
Practice location
704 S 3rd St.Suite B5
Renton, WA 98057-2553
Phone 206-581-6756
Mailing address
1201 Thomas Lane#6
Renton, WA 98055-3536
Phone 206-696-3851
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