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Active NPI 1104217033 Individual Practitioner Male Practitioner

Stephen Fuller , LMP

Massage Therapist • Des Moines, WA

Professional Overview & Biography Verified Profile Summary

Stephen Fuller, LMP is a registered healthcare professional specializing in Massage Therapist in Des Moines, WA. Practice services are available at 22021 7TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22021 7th Ave S
Suite 3

Des Moines, WA 981986218

Telephone 2064292782

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Des Moines, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
31 Specialists

Practicing in Des Moines, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA60015141

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Siao Wilson

Behavior Technician

NPI 1982581187

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2015

Registered at 22021 7TH AVE S, SUITE 3, DES MOINES, WA 981986218 (Tel: 2064292782)

📍
Updated Business Mailing Address February 13, 2015

Registered at 22021 7TH AVE S, SUITE 3, DES MOINES, WA 981986218 (Tel: 2064292782)

👤
Provider Name / Credentials Updated February 13, 2015

Recorded as STEPHEN FULLER, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2015

Massage Therapist (License #MA60015141 in WA)

🟢
Initial NPI Registration & Enumeration February 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104217033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2015
Last Update: February 13, 2015
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

22021 7th Ave S, Suite 3

Des Moines, WA 981986218

Phone: 2064292782

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.