Active NPI
Rachel Leah Vahlberg, LMT
- Massage Therapist
- Redmond, WA
National Provider Identifier
1134579097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60553316
- Practice address
- 15965 NE 85TH St
Suite 102
Redmond, WA 98052-3593 - Phone
- (425) 882-9065
- Fax
- (425) 558-1900
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 | MA60553316 | WA | Primary |
Addresses
Primary practice location
15965 NE 85TH St
Suite 102
Redmond, WA 98052-3593
Mailing address
15001 35TH Ave W
#6-202
Lynnwood, WA 98087-2343
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 |
|---|---|---|---|
| MA60553316 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1134579097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15001 35TH AVE W",
"address_2": "#6-202",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980872343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15965 NE 85TH ST",
"address_2": "SUITE 102",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523593",
"telephone_number": "425-882-9065",
"fax_number": "425-558-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHLBERG",
"first_name": "RACHEL",
"middle_name": "LEAH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60553316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.