Organization Active NPI

Natural Rejuvenation Center, LLC

  • Massage Therapist
  • Monroe, WA
National Provider Identifier
1013459296
Registry record updated Nov 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
NATURAL REJUVENATION CENTER, LLC
Practice address
148 Woods St
Monroe, WA 98272-2328
Phone
(425) 908-9394
NPI assigned
Nov 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2016

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

Authorized official

Name
Anna Martin, LMP
Title
Owner
Phone
(425) 908-9394

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

148 Woods St
Monroe, WA 98272-2328

Mailing address

42929 170TH St SE
Gold Bar, WA 98251-9183
Phone (425) 908-9394

National Provider Directory

National Provider Directory

Locations

148 Woods St
Monroe, WA 98272
Phone (425) 908-9394

Practitioners & affiliated clinicians

Practitioners 1

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": "1478304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478304000000",
    "number": "1013459296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42929 170TH ST SE",
            "city": "GOLD BAR",
            "state": "WA",
            "postal_code": "982519183",
            "telephone_number": "425-908-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WOODS ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722328",
            "telephone_number": "425-908-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL REJUVENATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-05",
        "last_updated": "2016-11-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-908-9394",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; 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.