Michael Stephen Angelo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61513169 Issued in WA

Practice address

6002 Mount Tacoma Dr SW Ste B
Lakewood, WA 98499-2703

Phone

(253) 475-7466

NPI assigned

Feb 19, 2024

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1013772037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 6TH AVE SE APT 342",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031086",
            "telephone_number": "252-665-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 MOUNT TACOMA DR SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992703",
            "telephone_number": "253-475-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61513169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Andrews, ARNP
• Anthony Isam Andrisek, BA
• Jessy Edgardo Ang Jr., M.D.
• Alex E Angeles, PAC
• Rhiannon S Angell, M.S.
• Margaret Anglin
• Bryan Daniel Angove, D.C.
• Lisa Anthony
• Suzra Martha Saronne Antoine, MSW
• Hannah Antokol, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.