Organization Active NPI

Isella Day Spa LLC

  • Massage Therapist
  • Bremerton, WA
National Provider Identifier
1285878645
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60058091 Issued in WA
Legal business name
ISELLA DAY SPA LLC
Practice address
511 4TH St
Bremerton, WA 98337-1409
Phone
(360) 377-1113
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Carlos Jara III
Title
Owner
Phone
(206) 235-3396

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MA60058091 WA Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MA00024718 WA

Addresses

Primary practice location

511 4TH St
Bremerton, WA 98337-1409

Mailing address

511 4TH St
Bremerton, WA 98337-1409
Phone (360) 377-1113

National Provider Directory

National Provider Directory

Locations

511 4th St
Bremerton, WA 98337
Phone (360) 377-1113

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1285878645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 4TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371409",
            "telephone_number": "360-377-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 4TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371409",
            "telephone_number": "360-377-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISELLA DAY SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-235-3396",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60058091",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.