Individual provider Active NPI

Bethany Jayne Voss, LMT

  • Massage Therapist
  • College Place, WA
National Provider Identifier
1033883129
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61095110 Issued in WA
Practice address
100 N College Ave Ste B
College Place, WA 99324-1015
Phone
(509) 520-5716
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 61095110 WA Primary

Addresses

Primary practice location

100 N College Ave Ste B
College Place, WA 99324-1015

Mailing address

113 Springdale Rd
Walla Walla, WA 99362-7169
Phone (509) 240-0989

Other practice location 1

19 E Birch St Ste 105
Walla Walla, WA 99362-3205
Phone (509) 240-0989

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

LicenseStateTypeSpecialty
61095110WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1033883129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SPRINGDALE RD",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993627169",
            "telephone_number": "509-240-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N COLLEGE AVE STE B",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241015",
            "telephone_number": "509-520-5716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 E Birch St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993623205",
            "country_code": "US",
            "telephone_number": "509-240-0989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOSS",
        "first_name": "BETHANY",
        "middle_name": "JAYNE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61095110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.