Active NPI
Logan Tyler Camacho
- Massage Therapist
- Zillah, WA
National Provider Identifier
1023976552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA70069288
- Practice address
- 607 1St Ave
Zillah, WA 98953-9433 - Phone
- (509) 829-5757
- Fax
- (509) 829-5051
- NPI assigned
- Jan 13, 2026
- Last updated
- Jan 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA70069288 | WA | Primary |
Addresses
Primary practice location
607 1St Ave
Zillah, WA 98953-9433
Mailing address
PO Box 504
Zillah, WA 98953-0504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA70069288 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delp Chiropractic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Zillah, WA
- NPI 1104249101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1023976552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "ZILLAH",
"state": "WA",
"postal_code": "989530504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 1ST AVE",
"city": "ZILLAH",
"state": "WA",
"postal_code": "989539433",
"telephone_number": "509-829-5757",
"fax_number": "509-829-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "LOGAN",
"middle_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA70069288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zillah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.