Grace Sandifer, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61495485 Issued in WA

Practice address

2405 Evergreen Park Dr SW Ste B1
Olympia, WA 98502-6000

Phone

(360) 438-6559

NPI assigned

Dec 12, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Champion Chiropractic Center, Inc

  • Chiropractor
  • Lacey, WA
  • NPI 1962692327
  NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1205603024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 EVERGREEN PARK DR SW STE B1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026000",
            "telephone_number": "360-438-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 EVERGREEN PARK DR SW STE B1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026000",
            "telephone_number": "360-438-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Dalby Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "WA",
            "postal_code": "985929565",
            "country_code": "US",
            "telephone_number": "360-898-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDIFER",
        "first_name": "GRACE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61495485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori D Sanders
• Katherine Bernice Sanderson, LM
• Peter J Sanderson, LMFT, MHP, CMHS
• Jagjit Singh Sandhu
• Sandifer Chiropractic Clinic, Inc. P.S.
• Leamon C. Sandifer, DC
• Tina Lynne Sandoval, BCBA
• Gary R Sandwick, MA
• Guntas Kaur Sangha, MD
• Luis F Santamarina, M.D.

• Massage Therapist in Olympia, WA
• Providers in Olympia, 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 5, 2024; 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.