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

Ethan Wilson, LMP

Individual provider Massage Therapist · NPI 1235945940

Ethan Wilson, LMP is a Massage Therapist in Maple Valley, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

26832 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8309
Phone: (425) 433-6583
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1235945940
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address26832 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8309

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