Jovante Auli I Lani O Ka Mik Guerra, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60521790 Issued in WA

Practice address

12815 Canyon Rd E
Suite O
Puyallup, WA 98373

Phone

(253) 249-9325

Fax

(253) 875-9468

NPI assigned

May 28, 2019

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.

• Berry Family Chiropractic PS

  • Chiropractor
  • Puyallup, WA
  • NPI 1124357157

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1013574763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 CANYON RD E",
            "address_2": "SUITE O",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-249-9325",
            "fax_number": "253-875-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 CANYON RD E",
            "address_2": "SUITE O",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-249-9325",
            "fax_number": "253-875-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "JOVANTE",
        "middle_name": "AULI I LANI O KA MIK",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60521790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise J Gruchalla, PA-C
• Brandon Guariglia, DMD
• Jonathan Michael Gubbe
• Shravana Deepthi Gudivada, MD
• Courtney Guerra, PHARMD
• Alfredo Guerrero
• Neal L Guidry, M.S. CCC-SLP
• Guillermo E Chacon, DDS, PS
• Kailee Ann Gunderman
• Amy M Gunderson, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.