Jennifer G. Dragoo, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015140 Issued in WA

Practice address

9631 Firdale Ave
Edmonds, WA 98020

Phone

(206) 697-0178

Fax

(206) 542-6725

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jennifer G. Turetzky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1114130275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1804",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98020",
            "telephone_number": "206-697-0178",
            "fax_number": "206-542-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 FIRDALE AVE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98020",
            "telephone_number": "206-697-0178",
            "fax_number": "206-542-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOO",
        "first_name": "JENNIFER",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015140W",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TURETZKY",
            "middle_name": "G.",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Catalina Mariana Draghici, MD
• Stephanie Allison Drake, MSW, MA
• Annabella Drew
• Kelly Druin, LICSW
• Karli Breanne Dubois, MA, LMHCA
• Jennifer Ducharme, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.