Ciely Ti Gray, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 00016529 Issued in WA

Practice address

440 Spring Street
Friday Harbor, WA 98250

Phone

(360) 378-3637

Fax

(360) 378-3637

NPI assigned

Sep 24, 2010

Last updated

Sep 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

• Lavendera Day Spa LTD

  • Massage Therapist
  • Friday Harbor, WA
  • NPI 1164731113
  Authorized official Same address or phone

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1003124009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982500332",
            "telephone_number": "360-378-3637",
            "fax_number": "360-378-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SPRING STREET",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "98250",
            "telephone_number": "360-378-3637",
            "fax_number": "360-378-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CIELY",
        "middle_name": "TI",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00016529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Suzanne Getz, LMT, RPP, CSB
• Kimberly Anne Gilliland, M.A.
• Trisha Ginley, L AC
• John Burk Gossom, MD
• Roy W. Graves, MD
• Susan R. Grout, MA, LMHC
• Mary Jo Groves, M.D.
• Melissa Ann Guard
• William B Gunderson IV, MD
• Jessica Elizabeth Hale

• Massage Therapist in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.