Organization Active NPI

Stillwater Massage

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1144777558
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013522 Issued in WA
Legal business name
STILLWATER MASSAGE
Practice address
4610 45TH Ave S
Seattle, WA 98118-1812
Phone
(206) 307-4978
Fax
(206) 260-3086
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Holly Jackson
Title
Owner
Phone
(206) 307-4978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MA00013522 WA Primary

Addresses

Primary practice location

4610 45TH Ave S
Seattle, WA 98118-1812

Mailing address

4610 45TH Ave S
Seattle, WA 98118-1812
Phone (206) 307-4978

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1144777558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 45TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181812",
            "telephone_number": "206-307-4978",
            "fax_number": "206-260-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 45TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181812",
            "telephone_number": "206-307-4978",
            "fax_number": "206-260-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-307-4978"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.