Puget Sound Therapeutic Massage

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 00017173 Issued in WA

Legal business name

PUGET SOUND THERAPEUTIC MASSAGE

Practice address

1800 NW Market St Ste 200
Seattle, WA 98107-3900

Phone

(206) 781-9541

Fax

(206) 781-3069

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Ellen A Parker, LMP

Title

Owner

Phone

(206) 781-9541

Specialties & licenses 1

Addresses

Other names 1

• Ballard Therapeutic Massage Doing business as

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1134433808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW MARKET ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073900",
            "telephone_number": "206-781-9541",
            "fax_number": "206-781-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW MARKET ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073900",
            "telephone_number": "206-781-9541",
            "fax_number": "206-781-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-781-9541",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 00017173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Puget Sound Neighborhood Health Centers
• Puget Sound Neighborhood Health Centers
• Puget Sound Psychotherapy, PS
• Puget Sound Rehabilitation Medicine
• Puget Sound Sedation
• Puget Sound VA Health Care System
• Chandrea Pugh
• Gregory L. Pugh, MSW
• Jessica Pugh
• Michelle Therese Pugh

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.