Mackenzie Evelina Hull I

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61335967 Issued in WA

Practice address

1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718

Phone

(360) 574-3141

NPI assigned

Oct 28, 2022

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

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.

• Cke Longevity LLC

  • Massage Therapist
  • Vancouver, WA
  • NPI 1104263599

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1023725140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15710 NE 93RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986821508",
            "telephone_number": "360-953-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 NE 134TH ST STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852718",
            "telephone_number": "360-574-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MACKENZIE",
        "middle_name": "EVELINA",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61335967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Hulings
• Kelley Hulke-Borger, RN
• Cassandra Marie Hull, RDH
• Errol C Hull, M.D.
• Kirstin Hull, LMP
• Megan Hull
• Andy Humes, MD
• Hannah L Humpherys
• Christopher David Humphrey, LMP
• Courtney Humphrey

• 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 Oct 28, 2022; 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.