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

Mr. Charles Wallace Niesen III, LMP

Individual provider Massage Therapist · NPI 1407048903

Mr. Charles Wallace Niesen III, LMP is a Massage Therapist in Port Orchard, 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.

See every abbreviation used in this directory →

Practice location Address checks out

7950 State Highway 3 SW
Port Orchard, WA 98367-9149
Phone: (360) 801-1295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA00018507 (WA)

Record details

NPI number1407048903
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorYes
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 17, 2007

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