Organization Active NPI

Stillaguamish Massage Therapy Clinic

  • Massage Therapist
  • Arlington, WA
National Provider Identifier
1235551748
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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 INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Indians11 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.