Thomas Maynard

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

26545 Maple Valley Black Diamond Rd SE Ste K160
Maple Valley, WA 98038-8391

Phone

(253) 284-9800

Fax

(253) 284-9801

NPI assigned

Nov 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1235642422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26545 MAPLE VALLEY BLACK DIAMOND RD SE STE K160",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388391",
            "telephone_number": "253-284-9800",
            "fax_number": "253-284-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Mathew, LMP
• Alexandra Brooke Mathewes, LMHC, LCPC
• Matthew R Gee MD PC
• Kathryn Elizabeth Mattson, OT
• Adriana Renee May Roman
• Valerie Jill Mazziotti, PAC
• Jessica Angelina McAbee, MD
• Robin McCarthy
• Jared McConahy, DPT
• Shannon McCue, LSWAIC SC61400346

• Massage Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.