Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235945940 Individual Practitioner Male Practitioner

Ethan Wilson , LMP

Massage Therapist • Maple Valley, WA

Professional Overview & Biography Verified Profile Summary

Ethan Wilson, LMP is a registered healthcare professional specializing in Massage Therapist in Maple Valley, WA. Practice services are available at 26832 MAPLE VALLEY BLACK DIAMOND RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26832 Maple Valley Black Diamond Rd Se

Maple Valley, WA 980388309

Telephone 4254336583
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Maple Valley, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
42 Specialists

Practicing in Maple Valley, 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: 2024-12-06
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

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

3 Associated Practitioners
NPI 1063855856

Doctor of Chiropractic

Katie Cox

Massage Therapist

NPI 1538764667
Whitney Barber

Massage Therapist

NPI 1871183442

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2024

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2024

Registered at 26832 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 980388309 (Tel: 4254336583)

📍
Updated Business Mailing Address December 06, 2024

Registered at 26832 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 980388309 (Tel: 4254336583)

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Provider Name / Credentials Updated December 06, 2024

Recorded as ETHAN WILSON, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2024

Massage Therapist

🟢
Initial NPI Registration & Enumeration December 06, 2024

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: 1235945940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2024
Last Update: December 06, 2024
Sole Proprietor: No

Mailing Address

26832 Maple Valley Black Diamond Rd Se

Maple Valley, WA 980388309

Phone: 4254336583

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.