Active NPI
Michelle Ann Lindstrom, LMT
- Massage Therapist
- Poulsbo, WA
National Provider Identifier
1104952399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0005136
- Practice address
- 19611 7TH Ave NE
Poulsbo, WA 98370-7384 - Phone
- (360) 779-3285
- NPI assigned
- Feb 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MA0005136 | WA | Primary |
Addresses
Primary practice location
19611 7TH Ave NE
Poulsbo, WA 98370-7384
Mailing address
8529 10TH Ave SE
Everett, WA 98208-2034
Phone (360) 265-7899
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 |
|---|---|---|---|
| MA0005136 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1104952399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8529 10TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082034",
"telephone_number": "360-265-7899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19611 7TH AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707384",
"telephone_number": "360-779-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSTROM",
"first_name": "MICHELLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA0005136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.