Serenebird Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SERENEBIRD MASSAGE LLC

Practice address

12515 Meridian E
Puyallup, WA 98373-3436

Phone

(253) 221-1590

Fax

(253) 841-8526

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Kia M King, LMT

Title

Owner/Operator

Phone

(253) 221-1590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Chisholm, LMP

  • Massage Therapist
  • Puyallup, WA
  • NPI 1255728705
  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1215402482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 49TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984042800",
            "telephone_number": "253-221-1590",
            "fax_number": "253-841-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 MERIDIAN E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733436",
            "telephone_number": "253-221-1590",
            "fax_number": "253-841-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENEBIRD MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "253-221-1590",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thiviyanath Sellathurai, M.D.
• Rick Sellers, LPN
• Bonnie E Senn, L.M.F.T.
• Caroline Carlie Sensiba, AGNP
• Han NA Seo, DMD
• Serenity Counseling & Consulting, LLC
• Rose Marie Sessoms, M.D.,M.PH.
• Alexandra Christine Setchfield
• Mitzi Seto
• Seung Yong Song DDS PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.