Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonney Lake Clinical Massage LLC

Organization Massage Therapist · NPI 1356672216

Bonney Lake Clinical Massage LLC is a Massage Therapist in Bonney Lake, Washington. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21157 State Route 410 E
Bonney Lake, WA 98391-8457
Phone: (253) 862-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1356672216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Sisco — Member Llc · (253) 862-4441
NPI enumeratedJanuary 15, 2010
Last updated in NPPESJanuary 15, 2010
Mailing addressPo Box 757, Enumclaw, WA 98022-0757

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