Active NPI
Donald Alan Harkcom, LMP
- Massage Therapist
- Centralia, WA
National Provider Identifier
1134278294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA20976
- Practice address
- 202 N. Tower Ave #a
Centralia, WA 98531 - Phone
- (360) 330-9262
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- 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 | MA20976 | WA | Primary |
Addresses
Primary practice location
202 N. Tower Ave #a
Centralia, WA 98531
Mailing address
4115 15TH Ave. NE
Suite F
Lacey, WA 98516
Phone (360) 790-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0214291 | Other | WA | DEPT OF LABOR & INDUSTRY |
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 |
|---|---|---|---|
| MA20976 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134278294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 15TH AVE. NE",
"address_2": "SUITE F",
"city": "LACEY",
"state": "WA",
"postal_code": "98516",
"telephone_number": "360-790-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N. TOWER AVE #A",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "98531",
"telephone_number": "360-330-9262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKCOM",
"first_name": "DONALD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA20976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRY",
"identifier": "0214291",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.