NPIMap

Organization Active NPI

Everett Therapeutic Center, LLC

  • Massage Therapist
  • Everett, WA
National Provider Identifier
1023150646
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA11685 Issued in WA
Legal business name
EVERETT THERAPEUTIC CENTER, LLC
Practice address
1505 Broadway
Everett, WA 98201-1721
Phone
(425) 252-9132
Fax
(425) 252-9714
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mrs. Cheryl Ann Miller, LMPNPI 1063622306
Title
Owner
Phone
(425) 252-9132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA11685 WA Primary

Addresses

Primary practice location

1505 Broadway
Everett, WA 98201-1721

Mailing address

1505 Broadway
Everett, WA 98201-1721
Phone (425) 252-9132

National Provider Directory

National Provider Directory

Locations

1505 Broadway
Everett, WA 98201
Phone (425) 252-9132

Practitioners & affiliated clinicians

Practitioners 7

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1023150646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011721",
            "telephone_number": "425-252-9132",
            "fax_number": "425-252-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011721",
            "telephone_number": "425-252-9132",
            "fax_number": "425-252-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT THERAPEUTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-252-9132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA11685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.