Active NPI
Dayna Michelle Block, L.M.P.
- Massage Therapist
- Medical Lake, WA
National Provider Identifier
1154524064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00017946
- Practice address
- N 112 Jefferson Street
Medical Lake, WA 99022-0005 - Phone
- (509) 951-5943
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00017946 | WA | Primary |
Addresses
Primary practice location
N 112 Jefferson Street
Medical Lake, WA 99022-0005
Mailing address
PO Box 5
Medical Lake, WA 99022-0005
Phone (509) 951-5943
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154524064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990220005",
"telephone_number": "509-951-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N 112 JEFFERSON STREET",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990220005",
"telephone_number": "509-951-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "DAYNA",
"middle_name": "MICHELLE",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00017946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medical Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.