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

Northwest Therapeutic Massage

Organization Specialist · NPI 1619365830

Northwest Therapeutic Massage is a Specialist in University Place, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

4113 Bridgeport Way W Ste B
University Place, WA 98466-4325
Phone: (253) 564-5828
Fax: (253) 564-0115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 60401382 (WA)

Record details

NPI number1619365830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Corns — Owner/Massage Therapist · (253) 564-5828
NPI enumeratedDecember 23, 2014
Last updated in NPPESDecember 23, 2014
Mailing address4113 Bridgeport Way W Ste B, University Place, WA 98466-4325

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