Connie Marie Thornley

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00016073 Issued in WA

Practice address

17030 SE 1St St Ste 103
Vancouver, WA 98684-8514

Phone

(360) 604-1226

NPI assigned

Dec 30, 2011

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

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": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1023388592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 SE 7TH ST APT H4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834026",
            "telephone_number": "360-314-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 SE 1ST ST STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848514",
            "telephone_number": "360-604-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNLEY",
        "first_name": "CONNIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Thompson
• Zoe Thompson
• Princy Thomson
• William L Thorbecke, PH.D.
• Leila Dawn Thorne
• Alyssa K Thornton, MS, CCC-SLP
• Daniale Rochele Thornton, BSW
• Loree Beth Thornton, MD
• Robert D Thornton, MD
• Amber Thorp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.