Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bonney Lake Clinical Massage LLC

Organization Massage Therapist · NPI 1356672216

Bonney Lake Clinical Massage LLC provides Massage Therapist services in Bonney Lake, Washington. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21157 State Route 410 E
Bonney Lake, WA 98391-8457 Not confirmed with CMS for 16 years — call before visiting
Phone: (253) 862-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1356672216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Sisco — Member Llc · (253) 862-4441
NPI enumeratedJanuary 15, 2010
Last updated in NPPESJanuary 15, 2010
Mailing addressPo Box 757, Enumclaw, WA 98022-0757

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