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

Fredrick Mortimore, LMT

Individual provider Massage Therapist · NPI 1881414381

Fredrick Mortimore, LMT is a Massage Therapist in Mill Creek, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

805 164th St SE Ste 100
Mill Creek, WA 98012-6316
Phone: (425) 595-3436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA61569748 (WA)

Record details

NPI number1881414381
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address805 164th St Se Ste 100, Mill Creek, WA 98012-6316

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