Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Therapeutic Massage

Organization Specialist · NPI 1619365830

Northwest Therapeutic Massage provides Specialist services in University Place, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

4113 Bridgeport Way W Ste B
University Place, WA 98466-4325 Not confirmed with CMS for 11 years — call before visiting
Phone: (253) 564-5828
Fax: (253) 564-0115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 60401382 (WA)

Record details

NPI number1619365830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Corns — Owner/Massage Therapist · (253) 564-5828
NPI enumeratedDecember 23, 2014
Last updated in NPPESDecember 23, 2014
Mailing address4113 Bridgeport Way W Ste B, University Place, WA 98466-4325

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