Active NPI
Lisa Bredesen, LMT
- Massage Therapist
- Spokane, WA
National Provider Identifier
1053702811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60203905
- Practice address
- 6107 N Astor St
Spokane, WA 99208-8102 - Phone
- (509) 210-0550
- Fax
- (509) 960-9003
- NPI assigned
- Feb 13, 2015
- Sex
- Female
- 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 | MA 60203905 | WA | Primary |
Addresses
Primary practice location
6107 N Astor St
Spokane, WA 99208-8102
Mailing address
PO Box 28968
Spokane, WA 99228-8968
Phone (206) 579-0563
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 |
|---|---|---|---|
| MA 60203905 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embodied Wellness LLC | Massage Therapist | Current | Accepting new patients |
Locations
6107 N Astor St
Spokane, WA 99208
Phone (509) 210-0550
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1053702811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28968",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992288968",
"telephone_number": "206-579-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6107 N ASTOR ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992088102",
"telephone_number": "509-210-0550",
"fax_number": "509-960-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDESEN",
"first_name": "LISA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-13",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60203905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.