Doctor Name: | MATTHEW R TIMMONS |
NPI Number: | 1275854374 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP, LMT, CMT, NCTMB |
License Number: | 3106 |
Business Practice Address: | 9463 Ne Business Park Ln Bainbridge Island, WA - 981103675 |
Business Phone Number: | 2068665426 |
Business Fax Number: | |
Mailing Address: | 8120 High School Loop Ne, BAINBRIDGE ISLAND |
State: | WA |
Postal Code: | 981102660 |
Phone Number: | 3606161400 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2010 |
NPI Last Update Date: | 01/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3106 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
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. |