Terra J Jolly, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00014490 Issued in WA

Practice address

312 Columbia St NW
Olympia, WA 98501-1031

Phone

(360) 357-1390

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Copper Moon Massage Therapy

  • Massage Therapist
  • Olympia, WA
  • NPI 1366885964
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1003009531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MIX ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028404",
            "telephone_number": "360-866-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COLUMBIA ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011031",
            "telephone_number": "360-357-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "TERRA",
        "middle_name": "J",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Johnson, LMP
• Janelle Rose Johnston
• Liam Joseph Johnston
• Jonah Joldersma, LAC, CCHM
• Sarah Jolley, MA, LMHC, CMHS
• Brian Shawn Jonasson, DMD
• Allison Velouria Jones
• Carmen Jones
• Celeste Dawn Jones
• Charlene M Jones, MHP

• Massage Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.