Trish A Van Auken

Individual provider Active NPI Massage Therapist · Sequim, WA

NPI 1104055532 · NPPES record last updated Jul 7, 2009

Key facts

NPI
1104055532
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00025051 (WA)
Practice address
660 Evergreen Farm Way
#6065
Sequim, WA 98382-7005
Phone
(360) 582-9977
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA00025051WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Massage & Day Spa Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00025051 WA Yes

Addresses

Primary practice location

660 Evergreen Farm Way
#6065
Sequim, WA 98382-7005

Mailing address

660 Evergreen Farm Way #6065
Sequim, WA 98382-7005
Phone (360) 582-9977

Other providers in Sequim, WA

All providers in Sequim, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.