Organization Active NPI

Serenity Massage by Rylee

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1184086746
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024002 Issued in WA
Legal business name
SERENITY MASSAGE BY RYLEE
Practice address
2417 Pacific Ave SE
Olympia, WA 98501-2052
Phone
(360) 789-0654
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Mrs. Rylee Jean Landwehrle, LMP
Title
Licensed Massage Practitioner
Phone
(360) 789-0654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00024002 WA Primary

Addresses

Primary practice location

2417 Pacific Ave SE
Olympia, WA 98501-2052

Mailing address

7218 Prairie Ridge Dr NE
Olympia, WA 98516-2757

National Provider Directory

National Provider Directory

Locations

2417 Pacific Ave SE
Olympia, WA 98501
Phone (360) 474-3366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1184086746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 PRAIRIE RIDGE DR NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985162757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 PACIFIC AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012052",
            "telephone_number": "360-789-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MASSAGE BY RYLEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "LANDWEHRLE",
        "authorized_official_first_name": "RYLEE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LICENSED MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "360-789-0654",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.