Sandra Lea Rupp, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021783 Issued in WA

Practice address

4026 Pacific Ave
Tacoma, WA 98418-7830

Phone

(253) 370-7670

Fax

(253) 473-3807

NPI assigned

Dec 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1306082524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "ROY",
            "state": "WA",
            "postal_code": "985800990",
            "telephone_number": "253-370-7670",
            "fax_number": "253-473-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187830",
            "telephone_number": "253-370-7670",
            "fax_number": "253-473-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "SANDRA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaari Lee Taylor Runge, PT
• Autumn Runyan
• Tarah L Runyan
• Lorraine Helen Runyon, ARNP
• Gary L Rupp
• John Patrick Ruppe, RN
• Aimee Ruscio, PH.D.
• Violet Rush, LICSWA
• Jody Ann Rushlow
• Richard John Russel III, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.