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

Juan Fidel Santiago Henares, LMT

Individual provider Massage Therapist · NPI 1053197160

Juan Fidel Santiago Henares, LMT is a Massage Therapist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2402 Broadway St
Vancouver, WA 98663-3229
Phone: (360) 246-6630
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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 MA61480559 (WA)

Record details

NPI number1053197160
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateAugust 31, 2023

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