Active NPI
Stillaguamish Massage Therapy Clinic
- Massage Therapist
- Arlington, WA
National Provider Identifier
1235551748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- STILLAGUAMISH MASSAGE THERAPY CLINIC
- Practice address
- 904 E Maple St
Arlington, WA 98223-1634 - Phone
- (360) 474-1542
- Fax
- (360) 474-1247
- NPI assigned
- Jan 17, 2014
- Organization subpart
- Yes
- Parent organization
- STILLAGUAMISHTRIBE OF INDIANS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Hop, LMP
- Title
- Massage Clinic Manager
- Phone
- (360) 474-1542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
904 E Maple St
Arlington, WA 98223-1634
Mailing address
904 E Maple St
Arlington, WA 98223-1634
Phone (360) 474-1542
National Provider Directory
National Provider Directory- Tax ID family
- Stillaguamish Tribe of Indians
- Part of
- Stillaguamish Tribe of Indians
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
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-
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-
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-
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-
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-
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-
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-
- Substance Abuse Rehabilitation Facility
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-
- Community/Behavioral Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1235551748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E MAPLE ST",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231634",
"telephone_number": "360-474-1542",
"fax_number": "360-474-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E MAPLE ST",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231634",
"telephone_number": "360-474-1542",
"fax_number": "360-474-1247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILLAGUAMISH MASSAGE THERAPY CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STILLAGUAMISHTRIBE OF INDIANS",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "HOP",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "MASSAGE CLINIC MANAGER",
"authorized_official_telephone_number": "360-474-1542",
"authorized_official_credential": "LMP"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.