Tricia Marie Davis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61193659 Issued in WA

Practice address

8131 W Klamath CT Ste H
Kennewick, WA 99336-5251

Phone

(509) 307-8887

NPI assigned

Sep 16, 2021

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

Other identifiers 1

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.

• Desert Gemini PLLC

  • Massage Therapist
  • Kennewick, WA
  • NPI 1568288868
  NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1013687425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E 23RD AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993375523",
            "telephone_number": "509-307-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W KLAMATH CT STE H",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365251",
            "telephone_number": "509-307-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61193659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH STATE OF WA",
            "identifier": "MA61193659",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Davis
• Maureen Davis
• Shelby Yvonne Davis, LDO
• Steven Lee Davis
• Terry Gail Davis, DH
• Chad Vernon Dawson, DDS
• Day-to-Day Home Care
• Kelin Day, DC
• Allison Ursala Dayton, LMP
• Sydney T. De Cejka, PA

• Massage Therapist in Kennewick, WA
• Providers in Kennewick, 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 16, 2021; 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.