NW Lifestyle Massage & Reiki

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MA60316991 Issued in WA

Legal business name

NW LIFESTYLE MASSAGE & REIKI

Practice address

1104 Main St Ste G50
Vancouver, WA 98660-2976

Phone

(360) 975-0412

NPI assigned

May 17, 2016

Last updated

May 17, 2016By 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

Raymond Knutson

Title

L.M.P

Phone

(360) 975-0412

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1205283413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST STE G50",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602976",
            "telephone_number": "360-975-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST STE G50",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602976",
            "telephone_number": "360-975-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW LIFESTYLE MASSAGE & REIKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "L.M.P",
        "authorized_official_telephone_number": "360-975-0412"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "MA60316991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NW Geriatric Consultants Inc
• NW Geriatric Consultants Inc
• NW Health & Wellness, LLC
• NW Injury & Rehab Center, P.S.
• NW Interventional Medicine and Orthopedic Rehab PLLC
• NW Massage Therapy Corp
• NW Olive Clinic, LLC
• NW Procare LLC
• NW Serenity Adult Family Home (NW Serenity AFH)
• NW Social Work Services

• Health Service Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.