Mary Radene Givens, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61354209 Issued in WA

Practice address

130 Marvin Rd SE Ste 105
Lacey, WA 98503-6102

Phone

(360) 939-1634

NPI assigned

Nov 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1043928716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 YAUGER WAY SW UNIT K201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028349",
            "telephone_number": "360-561-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE STE 105",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036102",
            "telephone_number": "360-939-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "MARY",
        "middle_name": "RADENE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61354209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chiropractorlacey.com",
            "affiliation": "N",
            "address_1": "130 Marvin Rd SE Ste 105",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985036102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerry R Giddings, D.D.S.
• Martha J Gilbert, LMP
• Brandy Gillihan, L.M.H.C.A
• Audrey Ginger, OTR/L
• James Patrick Given, SUDP, CADC III
• Joseph W Glandon, O.D.
• Global Health Doc
• Aerie Glowka
• Cynthia Faye Godley, MS THERAPIST
• Jill Renae Goebel, ARNP, DNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.