Active NPI
Laura Elizabeth Brinkman
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1104266535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60340742
- Practice address
- 11921 Canyon Rd E
Puyallup, WA 98373-4403 - Phone
- (253) 970-8256
- NPI assigned
- Jun 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60340742 | WA | Primary |
Addresses
Primary practice location
11921 Canyon Rd E
Puyallup, WA 98373-4403
Mailing address
534 S Iroquois St
Goodland, IN 47948-8150
Phone (219) 863-7416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60340742 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372464000000",
"number": "1104266535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 S IROQUOIS ST",
"city": "GOODLAND",
"state": "IN",
"postal_code": "479488150",
"telephone_number": "219-863-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11921 CANYON RD E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983734403",
"telephone_number": "253-970-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKMAN",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-29",
"last_updated": "2013-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60340742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
- Shawnda L Brese, MA, LMFT
- Earl Edward Brewer, BS-PHYSIAL THERAPY
- Katherine H Brewer, M.D.
- Bridgeport Medical Clinic PLLC
- Branden Luann Brinar, MASSAGE THERAPIST
- Brinkopf & Yant Psychiatric Services, PLLC
- Katrina Brinkopf, DNP, ARNP, PMHNP-BC
- Karen Kay Briskey, LMT, LAMT, SAMT
- Alana Louise Britt
- Jordan N Brock, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.