Active NPI
Competitive Edge Massage
- Home Health Agency
- Spanaway, WA
National Provider Identifier
1134655137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- MA00024666
- Legal business name
- COMPETITIVE EDGE MASSAGE
- Practice address
- 5012 200TH Street CT E
Spanaway, WA 98387-4770 - Phone
- (253) 905-6761
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Corallee Elizabeth Weber, LMP
- Title
- Licensed Massage Practitioner
- Phone
- (253) 905-6761
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MA00024666 | WA | Primary |
Addresses
Primary practice location
5012 200TH Street CT E
Spanaway, WA 98387-4770
Mailing address
5012 200TH Street CT E
Spanaway, WA 98387-4770
Phone (253) 905-6761
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Ephrata, WA
- NPI 1508046228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1134655137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 200TH STREET CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983874770",
"telephone_number": "253-905-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 200TH STREET CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983874770",
"telephone_number": "253-905-6761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPETITIVE EDGE MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "CORALLEE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "LICENSED MASSAGE PRACTITIONER",
"authorized_official_telephone_number": "253-905-6761",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "MA00024666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanaway, WA
- Community Health Care (Bethel Middle School Dental Clinic)
- Community Health Care
- Community Health Care (Bethel Middle School Clinic)
- Community Health Care (Community Health Care Pharmacy - Spanaway)
- Community Health Care (Bethel Learning Clinic)
- Linda Jean Copeland, RN
- Felix Wilberto Correa
- Corsini Enterprises Inc (Validus Consulting & Services)
- Nury Isadora Cortez
- Country Living Adult Family Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.