Stephanie Tambolleo

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61573892 Issued in WA

Practice address

11909 N Division St Ste 103
Spokane, WA 99218-1969

Phone

(509) 465-8400

Fax

(509) 465-8500

NPI assigned

Jan 10, 2026

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian Mather, PC

  • Sports Physician Chiropractor
  • Spokane, WA
  • NPI 1205018397
  NPD (past)

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

{
    "created_epoch": "1768003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1326906348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 N DIVISION ST STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181969",
            "telephone_number": "509-465-8400",
            "fax_number": "509-465-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 N DIVISION ST STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181969",
            "telephone_number": "509-465-8400",
            "fax_number": "509-465-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBOLLEO",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-10",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61573892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dean Talley, PHARMD.
• Jessica Pomfret Talley, MPT
• Cindy Lorraine Talon-Kayne, RN, CWS
• Vera H Talseth, ARNP
• Tamarack Center
• Tami Haley Licsw
• Kelly Ann Tanaka, PHARMD
• Roger Raymond Tangeman, DC
• William Anthony Tangi Jr., CDP
• Melinda Tangredi, PT

• 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 Jan 10, 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.