Massage by Jenni

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MA 60334878 Issued in WA

Legal business name

MASSAGE BY JENNI

Practice address

9013 NE Highway 99
Vancouver, WA 98665-8942

Phone

(360) 904-0419

NPI assigned

Feb 19, 2015

Last updated

Feb 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Sosky

Title

LMP

Phone

(360) 904-0419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1053703678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13015 NE 406TH ST",
            "city": "AMBOY",
            "state": "WA",
            "postal_code": "986013513",
            "telephone_number": "360-904-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658942",
            "telephone_number": "360-904-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE BY JENNI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "SOSKY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "360-904-0419"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "MA 60334878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Point of Service in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.