Mary E Culp, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60198780 Issued in WA

Practice address

835 E Colonial Ave Ste 102
Moses Lake, WA 98837-4617

Phone

(509) 764-6777

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary E Hanover Other name

Electronic endpoints 1

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1174818926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 ROAD D.3 NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988377001",
            "telephone_number": "509-770-1400",
            "fax_number": "509-770-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E COLONIAL AVE STE 102",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374617",
            "telephone_number": "509-764-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17650 140th Ave SE",
            "address_2": "#B-07",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980586814",
            "country_code": "US",
            "telephone_number": "425-430-0700",
            "fax_number": "425-430-0710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E 3rd Ave # Ll105",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988371357",
            "country_code": "US",
            "telephone_number": "509-770-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULP",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60198780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mary@clinicalmassagepllc.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 E 3rd Ave # Ll105",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988371357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HANOVER",
            "middle_name": "E",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.