Eric R Thanem, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA22333 Issued in WA

Practice address

19611 7TH Ave NE
Poulsbo, WA 98370-7384

Phone

(360) 779-3285

NPI assigned

Feb 12, 2007

Sex

Male

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053453894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10162",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981100162",
            "telephone_number": "360-440-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19611 7TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707384",
            "telephone_number": "360-779-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANEM",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA22333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon June Tallon, MA
• Richard H. Tangen, DDS
• Grant Edward Taylor, D.C.
• Mark Richard Taylor, ANRP, FNP
• Michael Testa, CNOR, RNFA
• The Atmosphere
• The Doctors Clinic a Professional Corporation
• The Greenawalt Dhaliwal LLP
• Therapy for Kids, Inc.
• Thomas W.Redfern DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.