Individual provider Active NPI

Lisa A Tarr, LMP

  • Massage Therapist
  • Liberty Lake, WA
National Provider Identifier
1053877563
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60908088 Issued in WA
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

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MA60908088WAMDMassage 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.

Verify at the official NPI Registry.