NPIMap

Organization Active NPI

Marquis Massage Group, LLC

  • Massage Therapist
  • Covington, WA
National Provider Identifier
1235274374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MARQUIS MASSAGE GROUP, LLC
Practice address
27116 167TH PL SE
Suite 114
Covington, WA 98042-7341
Phone
(253) 630-6614
Fax
(253) 630-6624
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Adrien Zeumault
Title
Owner
Phone
(425) 392-1814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

27116 167TH PL SE
Suite 114
Covington, WA 98042-7341

Mailing address

12932 SE Kent Kangley Rd
Suite 438
Kent, WA 98030-7940
Phone (425) 392-1814

Other identifiers 1

IdentifierTypeStateIssuer
0182246OtherWADEPT OF L&I

Other names 1

  • Body Works Massage Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Body Works Massage Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27116 167th Pl SE
Ste 114
Covington, WA 98042
Phone (253) 630-6614

12932 SE Kent Kangley Rd
Ste 438
Kent, WA 98030

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235274374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12932 SE KENT KANGLEY RD",
            "address_2": "SUITE 438",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307940",
            "telephone_number": "425-392-1814",
            "fax_number": "425-392-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27116 167TH PL SE",
            "address_2": "SUITE 114",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980427341",
            "telephone_number": "253-630-6614",
            "fax_number": "253-630-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS MASSAGE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZEUMAULT",
        "authorized_official_first_name": "ADRIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-392-1814"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0182246",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Works Massage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.