Individual provider Active NPI

Laura Franciszka Szkudlarek, LMT

  • Massage Therapist
  • Lacey, WA
National Provider Identifier
1154134948
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61643782 Issued in WA
Practice address
4525 Intelco Loop SE Ste a
Lacey, WA 98503-5103
Phone
(360) 491-9135
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61643782 WA Primary

Addresses

Primary practice location

4525 Intelco Loop SE Ste a
Lacey, WA 98503-5103

Mailing address

2640 114TH Ave SW
Olympia, WA 98512-9004
Phone (360) 766-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA61643782WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Derrick Family Chiropractic, Inc. PastSince Jun 24, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1154134948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 114TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129004",
            "telephone_number": "360-766-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 INTELCO LOOP SE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035103",
            "telephone_number": "360-491-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZKUDLAREK",
        "first_name": "LAURA",
        "middle_name": "FRANCISZKA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61643782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.