Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES RANDOLPH FISK, LMP
Active Sole ProprietorMR. CHARLES RANDOLPH FISK, LMP is a Massage Therapist healthcare provider located in BONNEY LAKE, Washington. NPI 1275719494 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BONNEY LAKE, WA
Registration Details
- NPI Number
- 1275719494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2008 (18.566110485254 yrs)
- Last Updated
- Nov 18, 2010
- License
-
MA00017977 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18124 114TH ST EBONNEY LAKE, WA, 983915168Browse WA providers · Browse ZIP 98391
- Phone
- 2532295819
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in BONNEY LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH B AULT | LMP | 1700878402 |
| MS. KERI L NOTTINGHAM | LMP | 1821080557 |
| MARCIE J MILLER | LMP | 1700830320 |
| PAULA A FOSTER | LMP | 1154406601 |
| MS. REBECCA ANN HUNDVEN | — | 1629139225 |
| MRS. MICHELLYNN INGLIN | LMP | 1053450353 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.