Michael Bruscoe, LMT
Massage Therapist in Spokane, WA. Individual provider (NPI-1).
NPI number1356949366
StatusActive
Last updated in NPPESOct 12, 2020
Details
- NPI
- 1356949366
- Entity type
- Individual (NPI-1)
- Name
- Michael Bruscoe
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2020
- Certification date
- Oct 12, 2020
- Last updated
- Oct 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60945049 | WA | Yes |
Practice location
1303 S Grand BlvdSpokane, WA 99202-1136
Phone 509-838-2225 · Fax 509-755-2225
Mailing address
1303 S Grand BlvdSpokane, WA 99202-1136
Phone 509-838-2225 · Fax 509-755-2225
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