Organization Active NPI

Li Greatprofy Massage,LLC

  • Massage Therapist
  • Everett, WA
National Provider Identifier
1144923822
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LI GREATPROFY MASSAGE,LLC
Practice address
12310 Highway 99 Ste 226
Everett, WA 98204-8006
Phone
(425) 330-6258
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Miss Lilia Wilcox, LMTNPI 1275244691
Title
Owner
Phone
(425) 330-6258

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

12310 Highway 99 Ste 226
Everett, WA 98204-8006

Mailing address

12310 Highway 99 Ste 226
Everett, WA 98204-8006
Phone (425) 330-6258

National Provider Directory

National Provider Directory

Locations

12310 Highway 99
Ste 226
Everett, WA 98204
Phone (425) 330-6258

12811 8th Ave W
Ste B103
Everett, WA 98204
Phone (425) 513-6959

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": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1144923822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 HIGHWAY 99 STE 226",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048006",
            "telephone_number": "425-330-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 HIGHWAY 99 STE 226",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048006",
            "telephone_number": "425-330-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI GREATPROFY MASSAGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "LILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-330-6258",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.