Active NPI
Todd Lynn McLendon, LMP
- Massage Therapist
- Lacey, WA
National Provider Identifier
1306929773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00014851
- Practice address
- 677 Woodland Square Loop SE
Lacey, WA 98503-1000 - Phone
- (360) 789-5142
- Fax
- (360) 352-8868
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- 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 | MA00014851 | WA | Primary |
Addresses
Primary practice location
677 Woodland Square Loop SE
Lacey, WA 98503-1000
Mailing address
855 Trosper Rd SW # 108-133
Tumwater, WA 98512-8108
Phone (360) 789-5142
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00014851 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306929773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 TROSPER RD SW # 108-133",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985128108",
"telephone_number": "360-789-5142",
"fax_number": "360-352-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 WOODLAND SQUARE LOOP SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031000",
"telephone_number": "360-789-5142",
"fax_number": "360-352-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENDON",
"first_name": "TODD",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00014851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
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.