Michelle N Quenga, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60388624 Issued in WA

Practice address

8409 87TH Ave SW
Lakewood, WA 98498-4726

Phone

(253) 581-4433

NPI assigned

Jun 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Superior Tan Inc.

  • Massage Therapist
  • Lakewood, WA
  • NPI 1528583127
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1194164145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 95TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983308",
            "telephone_number": "253-973-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 87TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984984726",
            "telephone_number": "253-581-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENGA",
        "first_name": "MICHELLE",
        "middle_name": "N",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60388624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulse Point Healthcare Services LLC
• Jana Marie Purdy, PMHNP
• Alyssa Marie Puryear
• Katherine Marie Pusztai, M.A.
• Romeo Sison Puzon, MD
• Sarah Quesenberry, BA
• Tiffany Quidachay
• Leslie Chantel Quintero, BA
• Ashleigh Raabe
• Brandon Kalani Rabisa

• Massage Therapist in Lakewood, WA
• Providers in Lakewood, 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 21, 2013; 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.