NPIMap

Organization Active NPI

Massage by Kelsey

  • Massage Therapist
  • Stanwood, WA
National Provider Identifier
1063818524
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60510471 Issued in WA
Legal business name
MASSAGE BY KELSEY
Practice address
9510 271St St NW
Stanwood, WA 98292-8095
Phone
(360) 629-6600
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
Kelsey Nichole Kanehen, LMPNPI 1417357492
Title
Owner
Phone
(360) 631-2922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60510471 WA Primary

Addresses

Primary practice location

9510 271St St NW
Stanwood, WA 98292-8095

Mailing address

7524 208TH PL NW
Stanwood, WA 98292-7887
Phone (360) 631-2922

National Provider Directory

National Provider Directory

Locations

9510 271st St NW
Stanwood, WA 98292
Phone (360) 629-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1063818524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 208TH PL NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927887",
            "telephone_number": "360-631-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 271ST ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928095",
            "telephone_number": "360-629-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE BY KELSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "KANEHEN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-631-2922",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60510471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.