Active NPI
Kory L Douglas, PLMP
- Massage Therapist
- Spokane, WA
National Provider Identifier
1306042551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA18874
- Practice address
- 15 E Central Ave Ste 3
Spokane, WA 99208-1109 - Phone
- (509) 487-5717
- Fax
- (509) 487-0207
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA18874 | WA | Primary |
Addresses
Primary practice location
15 E Central Ave Ste 3
Spokane, WA 99208-1109
Mailing address
15 E Central Ave Ste 3
Spokane, WA 99208-1109
Phone (509) 487-5717
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA18874 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306042551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E CENTRAL AVE STE 3",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992081109",
"telephone_number": "509-487-5717",
"fax_number": "509-487-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E CENTRAL AVE STE 3",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992081109",
"telephone_number": "509-487-5717",
"fax_number": "509-487-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "KORY",
"middle_name": "L",
"credential": "PLMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA18874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Douglas G Demmert Crna
- Douglas G. Rundle, D.M.D, P.C
- Douglas W. Lyman, OD, PLLC
- Barbara K Douglas
- Douglas, Grant, Lincoln & Okanogan Public Hospital District 6
- Ronald J Douglas, D.P.M.
- Tinsley Claire Douglas, MS GENETIC COUNSELOR
- Shauna Joelle Douglass-Parkin, EAMP, L.AC.
- Avery Douglass, DMD
- Tyler Douma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.