Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679273916 Individual Practitioner Male Practitioner

Ebenezer William Allen Dahl , LMT

Massage Therapist • Enumclaw, WA

Professional Overview & Biography Verified Profile Summary

Ebenezer Dahl, LMT is a registered healthcare professional specializing in Massage Therapist in Enumclaw, WA. Practice services are available at 553 ROOSEVELT AVE STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

553 Roosevelt Ave Ste 204

Enumclaw, WA 980222990

Telephone 2532894463

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Enumclaw, WA

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

Practicing in Enumclaw, 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

CMS Verified: 2023-03-06
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA61403991

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
Rachel Dahl , LMT, PTA

Massage Therapist

NPI 1083376198

Licensed Massage Therapist, Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2023

Registered at 553 ROOSEVELT AVE STE 204, ENUMCLAW, WA 980222990 (Tel: 2532894463)

📍
Updated Business Mailing Address March 06, 2023

Registered at 553 ROOSEVELT AVE STE 204, ENUMCLAW, WA 980222990 (Tel: 2532894463)

👤
Provider Name / Credentials Updated March 06, 2023

Recorded as EBENEZER DAHL, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Massage Therapist (License #MA61403991 in WA)

🟢
Initial NPI Registration & Enumeration March 06, 2023

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: 1679273916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2023
Last Update: March 06, 2023
Sole Proprietor: Yes

Mailing Address

553 Roosevelt Ave Ste 204

Enumclaw, WA 980222990

Phone: 2532894463

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.