Molly Ruth Petrie, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024214 Issued in WA

Practice address

3010 S Southeast Blvd
Spokane, WA 99223-3541

Phone

(509) 533-1000

Fax

(509) 533-1838

NPI assigned

May 13, 2008

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 identifiers 1

Other names 1

• Molly Ruth Turner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• RPM Rehabilitation & Associates

  • Case Management Agency
  • Spokane, WA
  • NPI 1780261198
  NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1184891723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2808",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202800",
            "telephone_number": "509-688-6702",
            "fax_number": "509-688-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 S SOUTHEAST BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233541",
            "telephone_number": "509-533-1000",
            "fax_number": "509-533-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "MOLLY",
        "middle_name": "RUTH",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLUMBIA MEDICAL ASSOCIATES GROUP NPI NUMBER",
            "identifier": "1154414761",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "TURNER",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annie Petit-Homme, APRN
• Serhii V Petrenko, LMT
• Alexander Petrie
• Arvind Jeffrey Petrie, DMD
• Kelsey Petrie
• Nola B Petrucelly, PT
• Allison Marie Pettersen, PHARMD
• Scot H Pettey, CRNA
• Tiffany Pettey, MA, LMHCA
• Brandie Marie Pettis, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.