Active NPI
Amanda R Dunkle, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1205398948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60847572
- Practice address
- 8704 Rainier Ave S
Seattle, WA 98118-4927 - Phone
- (206) 722-3104
- NPI assigned
- Apr 2, 2019
- Last updated
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60847572 | WA | Primary |
Addresses
Primary practice location
8704 Rainier Ave S
Seattle, WA 98118-4927
Mailing address
22413 111TH Ave SE
Kent, WA 98031-2658
Phone (206) 370-2675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60847572 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Chiropractic Center, PLLC | Single Specialty | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1205398948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22413 111TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980312658",
"telephone_number": "206-370-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8704 RAINIER AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981184927",
"telephone_number": "206-722-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNKLE",
"first_name": "AMANDA",
"middle_name": "R",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60847572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.