Amy M Gunderson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00025143 Issued in WA

Practice address

11108 Woodland Ave E Ste a
Puyallup, WA 98373-5893

Phone

(253) 845-5358

Fax

(253) 845-5753

NPI assigned

Sep 11, 2009

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

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.

• Chiropractic Northwest, Inc.

  • Rehabilitation Chiropractor
  • Puyallup, WA
  • NPI 1245471036
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1023341856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 9TH AVE NW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714024",
            "telephone_number": "253-845-5358",
            "fax_number": "253-845-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11108 WOODLAND AVE E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735893",
            "telephone_number": "253-845-5358",
            "fax_number": "253-845-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "MA00025143",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jovante Auli I Lani O Ka Mik Guerra, LMT
• Alfredo Guerrero
• Neal L Guidry, M.S. CCC-SLP
• Guillermo E Chacon, DDS, PS (Oral & Facial Surgery Centers of Washington)
• Kailee Ann Gunderman
• Ariana Gunter
• Neha Gupta, DDS
• Eugenia D Guray, MD
• Julie Allina Gustafson, M.D.
• Iris Guzman, MSW

• 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 Sep 11, 2009; 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.