Organization Active NPI

Arn's Therapeutic Massage

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1083040034
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00023548 Issued in WA
Legal business name
ARN'S THERAPEUTIC MASSAGE
Practice address
5501 NE 109TH CT
Suite L
Vancouver, WA 98662-6177
Phone
(360) 521-0804
Fax
(360) 891-8000
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mr. Glen Arn, MA00023548NPI 1033443007
Title
LMP
Phone
(360) 521-0804

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 Therapist 225700000X MA00023548 WA Primary

Addresses

Primary practice location

5501 NE 109TH CT
Suite L
Vancouver, WA 98662-6177

Mailing address

1913 NW 7TH CT
Battle Ground, WA 98604-6805
Phone (360) 521-0804

Other identifiers 1

IdentifierTypeStateIssuer
1033443007OtherWANPI TYPE 1

National Provider Directory

National Provider Directory

Locations

5501 NE 109th Ct
Ste L
Vancouver, WA 98662
Phone (360) 773-7262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1083040034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 NW 7TH CT",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986046805",
            "telephone_number": "360-521-0804",
            "fax_number": "360-891-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NE 109TH CT",
            "address_2": "SUITE L",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626177",
            "telephone_number": "360-521-0804",
            "fax_number": "360-891-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARN'S THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "ARN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "360-521-0804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA00023548"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1033443007",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.