Healing Serenity Therapeutic Massage, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HEALING SERENITY THERAPEUTIC MASSAGE, LLC

Practice address

5806 119TH Ave SE
Bellevue, WA 98006-3749

Phone

(425) 943-9545

Fax

(425) 943-9546

NPI assigned

Oct 30, 2012

Organization subpart

No

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

Authorized official

Name

Alonsso R Gaytan

Title

Owner/Member

Phone

(425) 943-9545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1083968911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 119TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063749",
            "telephone_number": "425-943-9545",
            "fax_number": "425-943-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 119TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063749",
            "telephone_number": "425-943-9545",
            "fax_number": "425-943-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SERENITY THERAPEUTIC MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "GAYTAN",
        "authorized_official_first_name": "ALONSSO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "425-943-9545"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.