Erin Balderson – Massage Therapist in Carnation, WA

Key facts

NPI: 1184100810
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: MA60867736 (WA)
Practice address: 3946 Tolt Ave
Carnation, WA 98014
Phone: (425) 998-6542
NPI assigned: Jul 16, 2018
Sex: Female
Sole proprietor: Yes

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.

The Garage Massage Therapy, PLLC Massage Therapist · Carnation, WA · NPI 1194269456

NPD (past) SINGLE SPECIALTY

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MA60867736	WA	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
The Garage Massage Therapy, PLLC	Single Specialty	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225700000X	MA60867736	WA	Yes

Addresses

Primary practice location

3946 Tolt Ave
Carnation, WA 98014

Mailing address

27224 SE 193Rd St
Issaquah, WA 98027-8235
Phone (406) 855-8497

Other practice location 1

27224 SE 193rd St
Issaquah, WA 98027-8235
Phone (406) 855-8497

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2018.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1184100810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27224 SE 193RD ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278235",
            "telephone_number": "406-855-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 TOLT AVE",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "98014",
            "telephone_number": "425-998-6542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27224 SE 193rd St",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980278235",
            "country_code": "US",
            "telephone_number": "406-855-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDERSON",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60867736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carnation, WA

All providers in Carnation, WA · Massage Therapist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.