Manuela Regina Egolf, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60311090 Issued in WA

Practice address

205 Clark PL SE
Tumwater, WA 98501-4062

Phone

(360) 570-0401

NPI assigned

Oct 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart of Wellness Inc

  • Clinic/Center
  • Tumwater, WA
  • NPI 1154678670
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1144573528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 ODEGARD RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127339",
            "telephone_number": "360-918-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CLARK PL SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014062",
            "telephone_number": "360-570-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGOLF",
        "first_name": "MANUELA",
        "middle_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60311090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educational Service District 113
• Edward a. Fletcher, D.D.S., P.S.
• Edwards and Edwards
• Andrew G. Edwards, M.S.,D.D.S.
• Jessica Ege
• Donna Louise Elam, PA-C
• William N Elledge, M.D.
• Joscaleyn Quierra Elliott
• Katrina Ellison
• Emerald Engrum

• Massage Therapist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.