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

Individual provider Nurse Massage Therapist (NMT) · NPI 1457736944

Mistinique J Fuller, RN, LMP is a Nurse Massage Therapist (NMT) in Othello, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2015
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

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Practice location Address checks out

1100 E Main St Ste A
Othello, WA 99344-1587
Phone: (509) 770-4067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1968 W Muse Rd, Othello, WA 99344-9757 — (509) 770-4067

Specialties & licences

Nurse Massage Therapist (NMT) (primary) Taxonomy 163WM1400X · Licence RN60154916 (WA)

Record details

NPI number1457736944
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , LMP
Sole proprietorNo
NPI enumeratedJuly 25, 2015
Last updated in NPPESOctober 5, 2021
Certification dateMay 14, 2021

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