Massa Wellness LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

MA60412422 Issued in WA

Legal business name

MASSA WELLNESS LLC

Practice address

10 Lake Shore PLZ
Kirkland, WA 98033-6110

Phone

(425) 658-7489

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Canaan HK Wong, LMP

Title

Owner

Phone

(425) 658-7489

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1295136083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAKE SHORE PLZ",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336110",
            "telephone_number": "425-658-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAKE SHORE PLZ",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336110",
            "telephone_number": "425-658-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CANAAN",
        "authorized_official_middle_name": "HK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-658-7489",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "MA60412422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Wittman M.D. PLLC
• Tais Masala Finale
• Mindy Mason
• Ronald E Mason, MD
• Sara Masoum, RN
• Timothy Hayes Massey, M.D.
• Donald K Masters, LDO
• Mario Mata
• Jennifer Michele Matin, PHARMD
• Martin Matney, ATC, PTA

• Public Health or Welfare Agency in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Public Health or Welfare Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.