Spokane Wellness Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

00010161 Issued in WA

Legal business name

SPOKANE WELLNESS MASSAGE, LLC

Practice address

2426 S Dishman Mica Rd Ste 3
Spokane Valley, WA 99206-6409

Phone

(509) 953-4149

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Courtney L Spear, LMP

Title

Owner/ Therapist

Phone

(509) 953-4149

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1225575681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 S DISHMAN MICA RD STE 3",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066409",
            "telephone_number": "509-953-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S DISHMAN MICA RD STE 3",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066409",
            "telephone_number": "509-953-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE WELLNESS MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "509-953-4149",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00010161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.