Active NPI
Ralph William Estill, LMP, MMP
- Massage Therapist
- Sedro Woolley, WA
National Provider Identifier
1134498991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60237912
- Practice address
- 820 Reed St
Ste a
Sedro Woolley, WA 98284-1165 - Phone
- (360) 421-2476
- Fax
- (360) 899-5260
- NPI assigned
- Dec 23, 2011
- 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 | MA 60237912 | WA | Primary |
Addresses
Primary practice location
820 Reed St
Ste a
Sedro Woolley, WA 98284-1165
Mailing address
820 Reed St
Ste a
Sedro Woolley, WA 98284-1165
Phone (360) 421-2476
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 60237912 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1134498991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 REED ST",
"address_2": "STE A",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982841165",
"telephone_number": "360-421-2476",
"fax_number": "360-899-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 REED ST",
"address_2": "STE A",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982841165",
"telephone_number": "360-421-2476",
"fax_number": "360-899-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTILL",
"first_name": "RALPH",
"middle_name": "WILLIAM",
"credential": "LMP, MMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60237912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.