Advanced Medical Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

602207584 Issued in WA

Legal business name

ADVANCED MEDICAL MASSAGE

Practice address

1112 Finnegan Way
Bellingham, WA 98225-6622

Phone

(360) 527-9566

Fax

(360) 527-8534

NPI assigned

Jul 30, 2012

Last updated

Jul 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tanja Juricic, LMP

Title

Owner/ Licenced Massage Therapist

Phone

(360) 527-9566

Specialties & licenses 1

Addresses

Other names 1

• Medical Massage Group Former legal business name

Tax ID family

Advanced Medical Massage3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Medical Massage

  • Massage Therapist
  • Bellingham, WA
  • NPI 1366792541
  NPD tax ID
• Advanced Medical Massage

  • Specialist
  • Bellingham, WA
  • NPI 1447798699
  NPD tax ID

Locations

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1144576950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 FINNEGAN WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256622",
            "telephone_number": "360-527-9566",
            "fax_number": "360-527-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 FINNEGAN WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256622",
            "telephone_number": "360-527-9566",
            "fax_number": "360-527-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "JURICIC",
        "authorized_official_first_name": "TANJA",
        "authorized_official_title_or_position": "OWNER/ LICENCED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-527-9566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "602207584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Massage Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Marie Adich, L.M.P.
• Courtney Adler, RN
• Mary Adler, LICSW
• Mark L Adriance, M.D.
• Advanced Audiology & Hearing Aid Services, LLC
• Advanced Medical Massage
• Advanced Medical Massage
• Advanced Vision PLLC
• Advancement Northwest, LLC (Advancement Northwest)
• Affolter Clinic, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.