Katelynn Sue Shoecraft, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60879897 Issued in WA

Practice address

1407 E 72ND St Ste A100
Tacoma, WA 98404-5906

Phone

(253) 474-7474

NPI assigned

Aug 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ross M. Anderson, Anchor Physical Therapy

  • Physical Therapist
  • Tacoma, WA
  • NPI 1598976243
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1104304609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 92ND ST S",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999372",
            "telephone_number": "541-980-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E 72ND ST STE A100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045906",
            "telephone_number": "253-474-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6030 Main St SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984996505",
            "country_code": "US",
            "telephone_number": "253-347-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOECRAFT",
        "first_name": "KATELYNN",
        "middle_name": "SUE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60879897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrod Shiveley, MD
• Melissa Shivers
• Trisha Shivers
• Frances Shoaga
• Rachel Nalty Shober, MD
• Daniel Shoop, DDS
• Abigail K. Shoquist, PSY.D.
• Mary Elizabeth Shores, PHYSICAL THERAPIST
• Liam Thomas Clarke Shorrock, MD
• John P Short, M.D.

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.