Organization Active NPI

Body Resonance Studio

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1124269113
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015860 Issued in WA
Legal business name
BODY RESONANCE STUDIO
Practice address
140 NW Dogwood St
Issaquah, WA 98027-3240
Phone
(425) 961-0742
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Miss Sasa Mlakar, LMP, CSP
Title
Owner, President
Phone
(425) 961-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00015860 WA Primary

Addresses

Primary practice location

140 NW Dogwood St
Issaquah, WA 98027-3240

Mailing address

140 NW Dogwood St
Issaquah, WA 98027-3240
Phone (425) 961-0742

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1124269113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NW DOGWOOD ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273240",
            "telephone_number": "425-961-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NW DOGWOOD ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273240",
            "telephone_number": "425-961-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY RESONANCE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "MLAKAR",
        "authorized_official_first_name": "SASA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "425-961-0742",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMP, CSP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.