Julee J Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60968160 Issued in WA

Practice address

716 S College Ave
College Place, WA 99324-1519

Phone

(509) 240-0825

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julee J Waggoner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1083257059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 MOJONNIER RD",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993627237",
            "telephone_number": "509-240-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S COLLEGE AVE",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241519",
            "telephone_number": "509-240-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULEE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60968160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULEE",
            "last_name": "WAGGONER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oleksandr Seleverstov, MD
• Tabatha Maureen Shadel, LSWAIC
• Clarissa Shipowick, PMHNP
• Dylan Reed Shuler, DPT
• Crystal L Smith, RN
• Kristin Jennifer Smith, MSW
• Lori Diane Smith, RN
• Robbie Smith
• Sonbridge Community Center
• Madison Faith Sprinkle

• Massage Therapist in College Place, WA
• Providers in College Place, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.