Organization Active NPI

Body Wellness Massage LLC

  • Massage Therapist
  • Kent, WA
National Provider Identifier
1316424864
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60065263 Issued in WA
Legal business name
BODY WELLNESS MASSAGE LLC
Practice address
15220 SE 272ND St Ste D
Kent, WA 98042-4241
Phone
(206) 651-4516
Fax
(425) 660-4779
NPI assigned
Jul 26, 2018
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Liliya LyebyedyevNPI 1821373572
Title
Owner
Phone
(206) 235-6545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60065263 WA Primary

Addresses

Primary practice location

15220 SE 272ND St Ste D
Kent, WA 98042-4241

Mailing address

15220 SE 272ND St Ste D
Kent, WA 98042-4241
Phone (206) 651-4516

National Provider Directory

National Provider Directory

Locations

15220 SE 272nd St
Ste D
Kent, WA 98042
Phone (253) 631-7933

20536 108th Ave SE
Kent, WA 98031
Phone (253) 854-7711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1316424864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 SE 272ND ST STE D",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980424241",
            "telephone_number": "206-651-4516",
            "fax_number": "425-660-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 SE 272ND ST STE D",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980424241",
            "telephone_number": "206-651-4516",
            "fax_number": "425-660-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WELLNESS MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "LYEBYEDYEV",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-235-6545"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60065263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.