Mistinique Fuller, RN, LMP

Individual Active
NPI 1457736944
Nurse Massage Therapist (NMT) Othello, WA

NPI 1457736944 belongs to Mistinique Fuller, RN, LMP, a nurse massage therapist (nmt) with a practice location in Othello, WA. The NPI was issued on July 25, 2015, and the record was last updated in NPPES on October 5, 2021. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Massage Therapist (NMT) Primary 163WM1400X RN60154916 (WA)

Practice locations

1100 E Main St Ste A
Othello, WA 99344-1587
Phone: (509) 770-4067
1968 W Muse Rd
Othello, WA 99344-9757
Phone: (509) 770-4067

Local context

Active NPPES records list 2 providers with nurse massage therapist (nmt) as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 16 in Washington and 315 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mistinique J Fuller
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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