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NPI Code Detail

MEDICARE: MR. DAVID ELLIOTT LMT

MEDICARE: MR. DAVID ELLIOTT LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA61262311WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ELLIODA078JLOTHERWASTATE DRIVERS LICENSE

General Provider Information

NPI Number : 1437800703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID ELLIOTT LMT
Provider Business Mailing Address
First Line : 1112 E 5TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-4427
Country : US
Telephone Number : 360-670-3277
Fax Number :
Provider Business Practice Location Address
First Line : 136 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-670-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2022
Last Update Date : 04/14/2026

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Directions to “ MR. DAVID ELLIOTT LMT” Practice Location

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