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Richard Austin Davenport, LMP

Massage Therapist in Tacoma, WA. Individual provider (NPI-1).

NPI number1760612469
StatusActive
Last updated in NPPESNov 17, 2015

Details

NPI
1760612469
Entity type
Individual (NPI-1)
Name
Mr. Richard Austin Davenport
Credential
LMP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 16, 2009
Last updated
Nov 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA60091736WAYes

Practice location

285 Spring St
Tacoma, WA 98250

Phone 360-378-3637

Mailing address

Po Box 2491
Friday Harbor, WA 98250-2491

Phone 360-298-6848

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