The Center for Total Body Awareness Corporation

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THE CENTER FOR TOTAL BODY AWARENESS CORPORATION

Practice address

611 4TH Ave Ste 100
Kirkland, WA 98033-6019

Phone

(425) 954-7303

Fax

(208) 247-9260

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Gray, LMT

Title

Director

Phone

(425) 954-7303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1245875772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAIN ST # 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336199",
            "telephone_number": "425-954-7303",
            "fax_number": "208-247-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 4TH AVE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336019",
            "telephone_number": "425-954-7303",
            "fax_number": "208-247-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR TOTAL BODY AWARENESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-954-7303",
        "authorized_official_credential": "LMT"
    },
    "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 Nov 7, 2019; 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.