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

Lawrence Davidson IV, LMT

Individual provider Massage Therapist · NPI 1154123305

Lawrence Davidson IV, LMT is a Massage Therapist in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

13325 94th Avenue Ct E
Puyallup, WA 98373-5502
Phone: (252) 288-7836
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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 MA6165770 (WA)

Record details

NPI number1154123305
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address13325 94th Avenue Ct E, Puyallup, WA 98373-5502

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