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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SUNRISE MOONSHADOW COULTER, LMT, LMP

Active Sole Proprietor

MR. SUNRISE MOONSHADOW COULTER, LMT, LMP is a Massage Therapist healthcare provider located in SEQUIM, Washington. NPI 1811323801 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SEQUIM, WA

Registration Details

NPI Number
1811323801
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2013 (12.883100630976 yrs)
Last Updated
Sep 23, 2013
Licenses
18466 (OR)
MA60408973 (WA)
Sole Proprietor
Yes

Practice Information

Address
542 N 5TH AVE
SEQUIM, WA, 983823079
Browse WA providers · Browse ZIP 98382
Phone
3606837911
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in SEQUIM, WA

Name Credential NPI
BRENDA J BIGGER LMP 1073500666
IMELDA RODIEL JONES LMP 1932288941
BRENDA JEAN BILLMARK LMP 1639248073
ROBIN E AMESTOY LMP 1578618567
MS. JUDI RAILEY-FUNARO LMP 1811033640
MS. SANDRA JASMINE WHILEY LMP, CLT 1114143401
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.