Brad Mitchell Secrest, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00016543 Issued in WA

Practice address

9720 N Nevada St
Spokane, WA 99218-3412

Phone

(509) 464-2273

Fax

(509) 242-1854

NPI assigned

Dec 8, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mark WM Houk ,D.C. P.S.

  dba Houk Chiropractic Clinic

  • Chiropractor
  • Spokane, WA
  • NPI 1528046778
  NPD (past)
• Houk Chiropractic-Coeur D'Alene P.C.

  • Chiropractor
  • Coeur d'Alene, ID
  • NPI 1104264811
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316922610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 E ROWAN LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992179237",
            "telephone_number": "509-464-2273",
            "fax_number": "509-242-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183412",
            "telephone_number": "509-464-2273",
            "fax_number": "509-242-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECREST",
        "first_name": "BRAD",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA00016543",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Lee Sears, PHD, LMFT
• Heather Sebastian, ARNP
• Riley Sebers, LMHC
• Alexandra Sebren, MD
• Opal Ann Secor, MS, LAT, ATC
• Paul Joseph Secrest, CARE COORDINATOR
• Sally Sederstrom, MBA, MS, NCC
• Susan Marie Sederstrom, LMP
• Michael Dean Sedler
• Andrew Zane Seely, MSW/LICSW

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

• 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.

Verify at the official NPI Registry.