Active NPI
Denise M Reid, LICENSED MASSAGE THE
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1124256987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 00021066
- Practice address
- 1707 3Rd St SE Suite a
Nader Family Chiropractic
Puyallup, WA 98375 - Phone
- (253) 200-2355
- Fax
- (253) 200-2977
- NPI assigned
- Jun 30, 2009
- 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 | MA 00021066 | WA | Primary |
Addresses
Primary practice location
1707 3Rd St SE Suite a
Nader Family Chiropractic
Puyallup, WA 98375
Mailing address
17528 Meridian E Suite 207
Nader Family Chiropractic
Puyallup, WA 98375
Phone (253) 445-9030
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 |
|---|---|---|---|
| MA 00021066 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nader Family Chiropractic. Inc. | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1124256987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17528 MERIDIAN E SUITE 207",
"address_2": "NADER FAMILY CHIROPRACTIC",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98375",
"telephone_number": "253-445-9030",
"fax_number": "253-445-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 3RD ST SE SUITE A",
"address_2": "NADER FAMILY CHIROPRACTIC",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98375",
"telephone_number": "253-200-2355",
"fax_number": "253-200-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "DENISE",
"middle_name": "M",
"credential": "LICENSED MASSAGE THE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 00021066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.