Edmonds Massage Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 60483826 Issued in WA

Legal business name

EDMONDS MASSAGE CENTER

Practice address

6808 220TH St SW Ste 203
Mountlake Terrace, WA 98043-2187

Phone

(425) 776-1056

Fax

(425) 776-4357

NPI assigned

Mar 4, 2015

Last updated

Apr 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deena Maye Thompson, LEAD LMP

Title

Lead

Phone

(425) 776-1056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1093107708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 220TH ST SW STE 203",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432187",
            "telephone_number": "425-776-1056",
            "fax_number": "425-776-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 220TH ST SW STE 203",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432187",
            "telephone_number": "425-776-1056",
            "fax_number": "425-776-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS MASSAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "MAYE",
        "authorized_official_title_or_position": "LEAD",
        "authorized_official_telephone_number": "425-776-1056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LEAD LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60483826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne M Dynneson
• Jeromy A Easter
• Erin Rebecca Eaton, OT
• Brianna Ba-Lin Edin
• Edmonds Endocrinology
• Edmonds Massage Center
• Elaine Robbin Elgin
• Daniel Mark Elliott Jr., LMHC-A
• Tyler Patrick Ellis
• Desiree Ender

• Specialist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.