Active NPI
Rachael Diane Dial, LMT
- Massage Therapist
- Normandy Park, WA
National Provider Identifier
1104487578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60968318
- Practice address
- 19655 1St Ave S
Normandy Park, WA 98148-2166 - Phone
- (206) 429-2922
- NPI assigned
- Jun 25, 2019
- 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 | MA60968318 | WA | Primary |
Addresses
Primary practice location
19655 1St Ave S
Normandy Park, WA 98148-2166
Mailing address
1428 S 276TH PL
Des Moines, WA 98198-9422
Phone (509) 679-8295
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 |
|---|---|---|---|
| MA60968318 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1104487578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 S 276TH PL",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981989422",
"telephone_number": "509-679-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19655 1ST AVE S",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981482166",
"telephone_number": "206-429-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAL",
"first_name": "RACHAEL",
"middle_name": "DIANE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60968318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.