Active NPI
Lisa A Tarr, LMP
- Massage Therapist
- Liberty Lake, WA
National Provider Identifier
1053877563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60908088
- Practice address
- 1334 N Whitman LN Ste 140
Liberty Lake, WA 99019-6034 - Phone
- (509) 924-7568
- Fax
- (509) 924-7689
- NPI assigned
- Feb 20, 2019
- 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 | MA60908088 | WA | Primary |
Addresses
Primary practice location
1334 N Whitman LN Ste 140
Liberty Lake, WA 99019-6034
Mailing address
13701 E Sprague Ave
Spokane Valley, WA 99216-0811
Phone (509) 922-5585
Other practice location 1
13701 E Sprague Ave
Spokane Valley, WA 99216-0811
Phone (509) 922-5585
Other practice location 2
417 W 1st Ave Ste 1B
Spokane, WA 99201-6001
Phone (509) 747-9999
Other practice location 3
9671 N Nevada St Ste 100
Spokane, WA 99218-1146
Phone (509) 467-3336
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 |
|---|---|---|---|
| MA60908088 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1053877563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13701 E SPRAGUE AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160811",
"telephone_number": "509-922-5585",
"fax_number": "509-927-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 N WHITMAN LN STE 140",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990196034",
"telephone_number": "509-924-7568",
"fax_number": "509-924-7689"
}
],
"practiceLocations": [
{
"address_1": "13701 E Sprague Ave",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992160811",
"country_code": "US",
"telephone_number": "509-922-5585",
"fax_number": "509-927-7336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 W 1st Ave Ste 1B",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992016001",
"country_code": "US",
"telephone_number": "509-747-9999",
"fax_number": "509-835-4444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9671 N Nevada St Ste 100",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992181146",
"country_code": "US",
"telephone_number": "509-467-3336",
"fax_number": "509-467-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARR",
"first_name": "LISA",
"middle_name": "A",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60908088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.