NPIMap

Organization Active NPI

Avalon Massage & Day Spa LTD

Doing business as Mindy's Massage

  • Massage Therapist
  • Sequim, WA
National Provider Identifier
1013947787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00009684 Issued in WA
Legal business name
AVALON MASSAGE & DAY SPA LTD
Doing business as
Mindy's Massage
Practice address
660 W Evergreen Farm Way
Sequim, WA 98382-5097
Phone
(360) 582-9977
Fax
(360) 582-9972
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mindy Sue Wiegel, LMP
Title
Owner
Phone
(360) 582-9977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00009684 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X WA

Addresses

Primary practice location

660 W Evergreen Farm Way
Sequim, WA 98382-5097

Mailing address

PO Box 7
Carlsborg, WA 98324
Phone (360) 582-9977

Other names 1

  • Mindy's Massage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avalon Massage Day Spa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013947787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "CARLSBORG",
            "state": "WA",
            "postal_code": "98324",
            "telephone_number": "360-582-9977",
            "fax_number": "360-582-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W EVERGREEN FARM WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825097",
            "telephone_number": "360-582-9977",
            "fax_number": "360-582-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MASSAGE & DAY SPA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIEGEL",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-582-9977",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009684",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindy's Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.