Individual provider Active NPI

Rachel Saranne Yantzer, LMP

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1255479812
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015975 Issued in WA
Practice address
11515 Burnham Dr
Gig Harbor, WA 98332-8543
Phone
(253) 858-5152
NPI assigned
Feb 2, 2007
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00015975 WA Primary

Addresses

Primary practice location

11515 Burnham Dr
Gig Harbor, WA 98332-8543

Mailing address

58 SW Bachelor Flat LN
Port Orchard, WA 98367-9647
Phone (253) 225-7199

Other practice location 1

5500 Olympic Dr
Ste # E-105
Gig Harbor, WA 98335-1487
Phone (253) 225-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00015975WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1255479812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SW BACHELOR FLAT LN",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679647",
            "telephone_number": "253-225-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 BURNHAM DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328543",
            "telephone_number": "253-858-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Olympic Dr",
            "address_2": "Ste # E-105",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351487",
            "country_code": "US",
            "telephone_number": "253-225-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANTZER",
        "first_name": "RACHEL",
        "middle_name": "SARANNE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.