NPIMap

Organization Active NPI

Sand Dollar Spa & Massage

  • Massage Therapist
  • University Place, WA
National Provider Identifier
1003215823
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SAND DOLLAR SPA & MASSAGE
Practice address
6808 27TH St W
University Place, WA 98466-5212
Phone
(253) 250-2760
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Matt Garry, LMPNPI 1114221009
Title
Owner
Phone
(253) 250-2748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

6808 27TH St W
University Place, WA 98466-5212

Mailing address

6808 27TH St W
University Place, WA 98466-5212
Phone (253) 250-2760

National Provider Directory

National Provider Directory

Locations

6808 27th St W
University Place, WA 98466
Phone (253) 212-2732

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1003215823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 27TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665212",
            "telephone_number": "253-250-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 27TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665212",
            "telephone_number": "253-250-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND DOLLAR SPA & MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "GARRY",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-250-2748",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.