| Doctor Name: | MR. RONALD GLENN COLYER |
| NPI Number: | 1316288566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.P. |
| License Number: | MA60331538 |
| Business Practice Address: | 160 Cascade Pl Suite 106 Burlington, WA - 982333126 |
| Business Phone Number: | 3609414243 |
| Business Fax Number: | |
| Mailing Address: | 17771 Dunbar Rd, MOUNT VERNON |
| State: | WA |
| Postal Code: | 982738751 |
| Phone Number: | 4254663140 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MA60331538 |
| 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. |