NPIMap

Organization Active NPI

Shangri-la Massage Therapy

  • Massage Therapist
  • Edmonds, WA
National Provider Identifier
1073808929
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024673 Issued in WA
Legal business name
SHANGRI-LA MASSAGE THERAPY
Practice address
7500 212TH St SW Ste 118
Edmonds, WA 98026-7616
Phone
(206) 240-4206
Fax
(425) 245-5894
NPI assigned
Jun 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Mrs. Sarah Jean Mustain, LMP
Title
Owner
Phone
(206) 240-4206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00024673 WA Primary

Addresses

Primary practice location

7500 212TH St SW Ste 118
Edmonds, WA 98026-7616

Mailing address

7500 212TH St SW Ste 118
Edmonds, WA 98026-7616
Phone (206) 240-4206

Other names 1

  • Shangri-La Massage Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1073808929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW STE 118",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267616",
            "telephone_number": "206-240-4206",
            "fax_number": "425-245-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW STE 118",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267616",
            "telephone_number": "206-240-4206",
            "fax_number": "425-245-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "MUSTAIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-240-4206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shangri-La Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.