Letitia Stewart, MA60717156

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60717156 Issued in WA

Practice address

3407 F St
Vancouver, WA 98663-2320

Phone

(360) 281-5168

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stewart Health Bodywork & Training LLC.

  • Massage Therapist
  • Vancouver, WA
  • NPI 1043988322
  NPD

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1063957462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 F ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632320",
            "telephone_number": "360-281-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 F ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632320",
            "telephone_number": "360-281-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LETITIA",
        "credential": "MA60717156",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "T167337",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60717156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Caley Stewart, RN, BSN
• Eric Bryce Stewart
• Julie Stewart, LMP
• Kahla Nicole Stewart
• Lauren Michelle Stewart, LMT
• Marla Jean Stewart, LMP
• Lynn Steyaert, MS
• Peter C Stich, MD
• Caitlin Riley Stichter
• James Charles Bradley Stickles, PTA

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.