MR. BRYCE KUULEI DOMINGO PTA LMP NPI 1528175445

NPI Information

NPI: 1528175445
Provider Name: MR. BRYCE KUULEI DOMINGO, PTA, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
17833 1ST AVE S STE A
NORMANDY PARK, WA
ZIP 98148
Phone: (253) 330-8518
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MR. Bryce Kuulei Domingo, PTA, LMP is a massage therapist in Normandy Park, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Bryce Kuulei Domingo, PTA, LMP NPI is 1528175445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17833 1ST AVE S STE A
NORMANDY PARK, WA
ZIP 98148-713
Phone: (253) 330-8518

The enumeration date for this NPI number is 8/24/2006 and was last updated on 3/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225200000X	Physical Therapy Assistant				No
2	225700000X	Massage Therapist		MA00024952	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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