Organization Active NPI

Amanda Wick Bodywork

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1306405980
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
AMANDA WICK BODYWORK
Practice address
1871 NW Gilman Blvd Ste 2
Issaquah, WA 98027-8130
Phone
(206) 383-8916
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Amanda Wick, LMT
Title
Member
Phone
(206) 383-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1871 NW Gilman Blvd Ste 2
Issaquah, WA 98027-8130

Mailing address

15230 206TH Ave SE
Renton, WA 98059-9052
Phone (206) 383-8916

Other practice location 1

1417 NW 54th St Ste 245
Seattle, WA 98107-3570
Phone (206) 383-8916

National Provider Directory

National Provider Directory

Locations

1871 NW Gilman Blvd
Ste 2
Issaquah, WA 98027
Phone (425) 657-0620

1417 NW 54th St
Ste 245
Seattle, WA 98107
Phone (206) 383-8916

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1306405980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 206TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980599052",
            "telephone_number": "206-383-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 NW GILMAN BLVD STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278130",
            "telephone_number": "206-383-8916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 NW 54th St Ste 245",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981073570",
            "country_code": "US",
            "telephone_number": "206-383-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMANDA WICK BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-383-8916",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.