Steven Green

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00013794 Issued in WA

Practice address

100 Ruby St SE
Suite F
Tumwater, WA 98501-6723

Phone

(360) 943-4797

Fax

(360) 709-0542

NPI assigned

May 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Steven Green Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174738108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ELK RIDGE LN",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419255",
            "telephone_number": "360-789-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RUBY ST SE",
            "address_2": "SUITE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016723",
            "telephone_number": "360-943-4797",
            "fax_number": "360-709-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "GREEN",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebecca Marie Grant
• Lowell B. Graves, GAMBLING COUNSELOR
• Makena Graves
• Elizabeth A Green-Taylor, MASSAGE THERAPIST
• Charmaine Green, ARNP
• Gresia Counseling & Wellness, PLLC
• Erin Grey, DPT
• Carrie Lynn Griffin
• Terron Griffis, DC
• Lisa M Griffith-Kateley

• Massage Therapist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Massage Therapist in Washington

• 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.

Verify at the official NPI Registry.