Active NPI
Eugene Jeffrey Mullens Jr., LMT
- Massage Therapist
- Federal Way, WA
National Provider Identifier
1003392572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60817462
- Practice address
- 202 S 348TH St Ste 4
Federal Way, WA 98003-7070 - Phone
- (253) 874-2498
- Fax
- (253) 248-1909
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60817462 | WA | Primary |
Addresses
Primary practice location
202 S 348TH St Ste 4
Federal Way, WA 98003-7070
Mailing address
202 S 348TH St Ste 4
Federal Way, WA 98003-7070
Phone (253) 874-2498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60817462 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good for You Massage & Day Spa, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- Federal Way, WA
- NPI 1457766552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1003392572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S 348TH ST STE 4",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037070",
"telephone_number": "253-874-2498",
"fax_number": "253-248-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S 348TH ST STE 4",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037070",
"telephone_number": "253-874-2498",
"fax_number": "253-248-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLENS",
"first_name": "EUGENE",
"middle_name": "JEFFREY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60817462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.