NPIMap

Organization Active NPI

Sound Massage, LLC

  • Clinic/Center
  • Olympia, WA
National Provider Identifier
1144490806
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA00015212 Issued in WA
Legal business name
SOUND MASSAGE, LLC
Practice address
3912 Martin Way E
Suite B
Olympia, WA 98506-5220
Phone
(360) 459-9780
NPI assigned
Mar 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2008

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

Authorized official

Name
Ms. Carla Flynn, L.M.P., C.K.T.P.
Title
Massage Theripist
Phone
(360) 556-9245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA00015212 WA Primary

Addresses

Primary practice location

3912 Martin Way E
Suite B
Olympia, WA 98506-5220

Mailing address

4504 36TH CT SE
Lacey, WA 98503-3513
Phone (360) 556-9245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204934400000",
    "number": "1144490806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 36TH CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033513",
            "telephone_number": "360-556-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 MARTIN WAY E",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065220",
            "telephone_number": "360-459-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MASSAGE THERIPIST",
        "authorized_official_telephone_number": "360-556-9245",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.P., C.K.T.P."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MA00015212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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.