Lisa Amon Haglund, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00006546 Issued in WA

Practice address

3773 Martin Way E
Suite 102 C
Olympia, WA 98506

Phone

(360) 459-9780

NPI assigned

Apr 24, 2007

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Laurisa Ann Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Massage, LLC

  • Clinic/Center
  • Olympia, WA
  • NPI 1144490806
  NPD (past)
• Susan Rosen & Associates, PLLC

  • Massage Therapist
  • Olympia, WA
  • NPI 1194860403
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1306065933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 MARTIN WAY E",
            "address_2": "SUITE 102C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-357-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 MARTIN WAY E",
            "address_2": "SUITE 102 C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-459-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLUND",
        "first_name": "LISA",
        "middle_name": "AMON",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00006546",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASH STATE HEALTH DEPT",
            "identifier": "MA00006546",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURISA",
            "last_name": "MILLER",
            "middle_name": "ANN",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annelise Haft, PA
• Brian Hagan, M.D.
• George A Hager, PT
• Haggen Inc (Top 29)
• Haggen Opco North LLC (Haggen Pharmacy)
• Doris A. Hahn, C.N.M.
• Christina Hajewski, M.D.
• Gary Halbert Jr.
• Halcyon Counseling LLC
• Carolee Anne Hall, LM CPM

• Massage Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.