| Mr Michael Gibbons, LMP | |
|
19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 | |
| (253) 863-6378 | |
| (253) 863-6429 |
| Full Name | Mr Michael Gibbons |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 19102 State Route 410 E Ste A, Bonney Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083825905 | NPI | - | NPPES |
| 4188GI | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00013609 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Gibbons, LMP P.o. Box 1413, Puyallup, WA 98371-0204 Ph: (253) 863-6378 | Mr Michael Gibbons, LMP 19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 Ph: (253) 863-6378 |
Kaeten Lee, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19102 Hwy 410, Bonney Lake, WA 98391 Phone: 253-863-6378 | |
Mrs. Michellynn Inglin, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18310 Hwy 410 E, Bonney Lake, WA 98391 Phone: 253-863-6377 Fax: 253-863-2052 | |
Paula A Foster, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19820 State Route 410 E, Suite 201, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Jayce Ellis, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10202 199th Ave E, Bonney Lake, WA 98391 Phone: 907-612-0275 | |
Jeff Lee Sisco, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 21157 State Route 410, Bonney Lake, WA 98390 Phone: 253-862-8590 | |
Stephanie Ahern, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 22015 State Route 410 E, Bonney Lake, WA 98391 Phone: 253-891-9109 Fax: 253-826-0438 |