Mermaid Cove Massage & Wellness, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MERMAID COVE MASSAGE & WELLNESS, LLC

Practice address

812 E Main
Puyallup, WA 98372-3364

Phone

(253) 414-2964

NPI assigned

Feb 10, 2019

Last updated

Feb 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Malin, LMT

Title

Member

Phone

(253) 414-2964

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jolynn Marie Peterson, LMT

  • Massage Therapist
  • Puyallup, WA
  • NPI 1699666123
  NPD (past)
• Alice Elliott

  • Massage Therapist
  • Louisville, KY
  • NPI 1043663164
  NPD (past)

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

{
    "created_epoch": "1549756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549756800000",
    "number": "1184189565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17725 69TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752472",
            "telephone_number": "253-414-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723364",
            "telephone_number": "253-414-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID COVE MASSAGE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-10",
        "last_updated": "2019-02-10",
        "status": "A",
        "authorized_official_last_name": "MALIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-414-2964",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Mercer, LMHCA
• Meridian Accident and Injury Chiropractic
• Meridian Ave Massage PLLC
• Meridian Bone Density Specialist
• Meridian Chiropractic and Wellness Center LLC
• Stacy Lynne Merrifield, DO
• Kristina M Merriman, DDS
• Cassandra Merritt
• Krista Beth Mertens, OT
• Merwin Chiropractic Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.