Tranquil Waters Massage Therapy Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00010300 Issued in WA

Legal business name

TRANQUIL WATERS MASSAGE THERAPY CLINIC

Practice address

8503 W Clearwater Ave
Suite B
Kennewick, WA 99336-3100

Phone

(509) 374-4719

Fax

(509) 374-3873

NPI assigned

Aug 14, 2013

Organization subpart

No

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

Authorized official

Name

Martha Pengelly, LMP

Title

Owner

Phone

(509) 374-4719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1235562141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE",
            "address_2": "SUITE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-374-4719",
            "fax_number": "509-374-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE",
            "address_2": "SUITE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-374-4719",
            "fax_number": "509-374-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL WATERS MASSAGE THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "PENGELLY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-374-4719",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00010300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.