NPIMap

Organization Active NPI

Kneading Hands Massage Therapy, LLC

Doing business as Monroe Medical Massage

  • Specialist
  • Monroe, WA
National Provider Identifier
1295800399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00010802 Issued in WA
Legal business name
KNEADING HANDS MASSAGE THERAPY, LLC
Doing business as
Monroe Medical Massage
Practice address
17066 Beaton Rd SE
Suite 170
Monroe, WA 98272-1002
Phone
(360) 863-0960
Fax
(360) 863-8710
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sharon Louise Zylstra, LMPNPI 1881761500
Title
Owner
Phone
(360) 863-0960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA00010802 WA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA00019954 WA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA00020051 WA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA00021601 WA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA00020587 WA

Addresses

Primary practice location

17066 Beaton Rd SE
Suite 170
Monroe, WA 98272-1002

Mailing address

17066 Beaton Rd SE
Suite 170
Monroe, WA 98272-1002
Phone (360) 863-0960

Other names 1

  • Monroe Medical Massage Doing business as

National Provider Directory

National Provider Directory

Locations

17066 Beaton Rd SE
Ste 170
Monroe, WA 98272
Phone (360) 863-0960

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295800399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17066 BEATON RD SE",
            "address_2": "SUITE 170",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721002",
            "telephone_number": "360-863-0960",
            "fax_number": "360-863-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17066 BEATON RD SE",
            "address_2": "SUITE 170",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721002",
            "telephone_number": "360-863-0960",
            "fax_number": "360-863-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEADING HANDS MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZYLSTRA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-863-0960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00010802",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00019954",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020051",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021601",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Medical Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.