New Leaf Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

NEW LEAF MASSAGE, LLC

Practice address

8730 Tallon LN NE
Suite 104
Lacey, WA 98516-6609

Phone

(253) 514-3636

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Chad Redinbo

Title

Manager

Phone

(253) 514-3636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1245655513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 TALLON LN NE",
            "address_2": "SUITE 104",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166609",
            "telephone_number": "253-514-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 TALLON LN NE",
            "address_2": "SUITE 104",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166609",
            "telephone_number": "253-514-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "REDINBO",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-514-3636"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.