Active NPI
Marquelle Renee Garibay, LMT
- Massage Therapist
- Lacey, WA
National Provider Identifier
1154843613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60221723
- Practice address
- 3663 College St SE Ste F
Lacey, WA 98503-2303 - Phone
- (360) 584-0054
- NPI assigned
- Jul 16, 2017
- 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 | MA60221723 | WA | Primary |
Addresses
Primary practice location
3663 College St SE Ste F
Lacey, WA 98503-2303
Mailing address
3663 College St SE Ste F
Lacey, WA 98503-2303
Phone (360) 584-0054
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60221723 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Energy Massage | Single Specialty | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154843613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 COLLEGE ST SE STE F",
"city": "LACEY",
"state": "WA",
"postal_code": "985032303",
"telephone_number": "360-584-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 COLLEGE ST SE STE F",
"city": "LACEY",
"state": "WA",
"postal_code": "985032303",
"telephone_number": "360-584-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARIBAY",
"first_name": "MARQUELLE",
"middle_name": "RENEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60221723",
"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 Jul 21, 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.