Doctor Name: | MR. MATTHEW LAWSON |
NPI Number: | 1114382801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | MA60567401 |
Business Practice Address: | 13712 Ne 20th Ave A Vancouver, WA - 986862698 |
Business Phone Number: | 3605745944 |
Business Fax Number: | 3605746430 |
Mailing Address: | 13712 Ne 20th Ave, A VANCOUVER |
State: | WA |
Postal Code: | 986862698 |
Phone Number: | 3605745944 |
Fax Number: | 3605746430 |
NPI Enumeration Date: | 12/22/2015 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60567401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |