Organization Active NPI

Pure Skin Spa,LLC

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1235541020
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00004314 Issued in WA
Legal business name
PURE SKIN SPA,LLC
Practice address
216 W Pacific Ave Ste 205
Spokane, WA 99201-3661
Phone
(509) 220-1510
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Elizabeth Horgan
Title
LMT
Phone
(509) 220-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00004314 WA Primary

Addresses

Primary practice location

216 W Pacific Ave Ste 205
Spokane, WA 99201-3661

Mailing address

216 W Pacific Ave Ste 205
Spokane, WA 99201-3661

National Provider Directory

National Provider Directory

Locations

216 W Pacific Ave
Ste 205
Spokane, WA 99201
Phone (509) 209-4143

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1235541020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W PACIFIC AVE STE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W PACIFIC AVE STE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013661",
            "telephone_number": "509-220-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SKIN SPA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "HORGAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "509-220-1510"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00004314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.