The Massage & Lash Image, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60207041 Issued in WA

Legal business name

THE MASSAGE & LASH IMAGE, LLC

Practice address

3512 1/2 Tieton Dr
Yakima, WA 98902-3661

Phone

(509) 248-2995

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Laura Paullin

Title

LMP

Phone

(509) 901-6711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1073892485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 1/2 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023661",
            "telephone_number": "509-248-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 1/2 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023661",
            "telephone_number": "509-248-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MASSAGE & LASH IMAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "PAULLIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "509-901-6711"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60207041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.