Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598980955 Individual Practitioner Male Practitioner

Stephen C Bourdeau , LMP

Massage Therapist • Kirkland, WA

Professional Overview & Biography Verified Profile Summary

Stephen Bourdeau, LMP is a registered healthcare professional specializing in Massage Therapist in Kirkland, WA. Practice services are available at 11821 NE 128TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11821 Ne 128th St
Suite C

Kirkland, WA 980347210

Telephone 4252851250
Fax 4252851255
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Kirkland, WA

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

Practicing in Kirkland, 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 MA00023394

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

14 Associated Practitioners
Dr. Eric O'quinn , DPT

Physical Therapist

NPI 1003351925

Doctor of Physical Therapy

Virginia Haley

Physical Therapist

NPI 1134529183
Jillian Anderson , LMT

Massage Therapist

NPI 1306398664

Licensed Massage Therapist

Dr. Sarah Hall , DPT

Physical Therapist

NPI 1326077884

Doctor of Physical Therapy

NPI 1346430659

Doctor of Physical Therapy

Briana Escalante , PT

Physical Therapist

NPI 1356718969

Physical Therapist

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address September 15, 2017

Registered at 790 REMINGTON BLVD, BOLINGBROOK, IL 604404909 (Tel: 6302962222)

📍
Updated Practice Location September 15, 2017

Registered at 11821 NE 128TH ST, SUITE C, KIRKLAND, WA 980347210 (Tel: 4252851250)

👤
Provider Name / Credentials Updated September 15, 2017

Recorded as STEPHEN BOURDEAU, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Massage Therapist (License #MA00023394 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11821 NE 128TH ST, SUITE C, KIRKLAND, WA 980347210 (Tel: 4252851250)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 731269, PUYALLUP, WA 983730060 (Tel: 2538402313)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN BOURDEAU, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Massage Therapist (License #MA00023394 in WA)

🟢
Initial NPI Registration & Enumeration April 13, 2007

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: 1598980955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: September 15, 2017
Sole Proprietor: No

Mailing Address

790 Remington Blvd

Bolingbrook, IL 604404909

Phone: 6302962222

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.