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

Jeff Lee Sisco, LMP

Individual provider Massage Therapist · NPI 1164631248

Jeff Lee Sisco, LMP is a Massage Therapist in Bonney Lake, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

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Practice location Address checks out

21157 State Route 410
Bonney Lake, WA 98390
Phone: (253) 862-8590
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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 MA00009503 (WA)

Record details

NPI number1164631248
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 9, 2007

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