MD Therapy & Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60298052 Issued in WA

Legal business name

MD THERAPY & MASSAGE LLC

Practice address

5401 6TH Ave Ste 300
Tacoma, WA 98406-2618

Phone

(360) 908-7559

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Derick Moody

Title

Owner

Phone

(360) 908-7559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1265838098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14113 SE 177TH ST APT J305",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589251",
            "telephone_number": "360-908-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 6TH AVE STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062618",
            "telephone_number": "360-908-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD THERAPY & MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "DERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-908-7559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60298052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomi L McVay, S.T.
• Patrick J McVeigh, D.C.
• Joy McWade, RN
• Samantha Michelle-Moody McWeeney, M.S., CCC-SLP
• Randall McZegle
• Nicole A Meacham, CDPT
• Crystal Lyn Meachem, BSN, RN
• Debra Mead
• Nicholas Mead
• Stanford Nead Mead, CCC-SLP

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, 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 5, 2014; 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.