Organization Active NPI

Chrysalis Cove LLC

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1144975871
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CHRYSALIS COVE LLC
Practice address
6553 California Ave SW
Ste B
Seattle, WA 98136
Phone
(206) 383-6085
Fax
(636) 246-6933
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Julene Rene Coblentz, LMT CLT
Title
Owner
Phone
(206) 383-6085

Specialties & licenses 1

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

Addresses

Primary practice location

6553 California Ave SW
Ste B
Seattle, WA 98136

Mailing address

6553 California Ave SW
Ste B
Seattle, WA 98136
Phone (206) 383-6085

National Provider Directory

National Provider Directory

Locations

6553 California Ave SW
Ste B
Seattle, WA 98136
Phone (206) 395-4373

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1144975871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 CALIFORNIA AVE SW",
            "address_2": "STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98136",
            "telephone_number": "206-383-6085",
            "fax_number": "636-246-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 CALIFORNIA AVE SW",
            "address_2": "STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98136",
            "telephone_number": "206-383-6085",
            "fax_number": "636-246-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "COBLENTZ",
        "authorized_official_first_name": "JULENE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-383-6085",
        "authorized_official_credential": "LMT CLT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 Feb 22, 2022; 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.