Organization Active NPI

Southsound Treatment Massage

  • Specialist
  • Puyallup, WA
National Provider Identifier
1245487347
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00009118 Issued in WA
Legal business name
SOUTHSOUND TREATMENT MASSAGE
Practice address
818 39TH Ave SW
Suite a
Puyallup, WA 98373-3308
Phone
(253) 841-2200
Fax
(253) 848-1075
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Peggy Sue Resseau, LMP
Title
Owner
Phone
(253) 841-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA00009118 WA Primary

Addresses

Primary practice location

818 39TH Ave SW
Suite a
Puyallup, WA 98373-3308

Mailing address

PO Box 731245
Puyallup, WA 98373-0060
Phone (253) 841-2200

National Provider Directory

National Provider Directory

Locations

818 39th Ave SW
Ste A
Puyallup, WA 98373
Phone (253) 841-2200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1245487347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731245",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730060",
            "telephone_number": "253-841-2200",
            "fax_number": "253-848-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 39TH AVE SW",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733308",
            "telephone_number": "253-841-2200",
            "fax_number": "253-848-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSOUND TREATMENT MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "RESSEAU",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-841-2200",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00009118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.