Lacey Anne Davidson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60806117 Issued in WA

Practice address

9307 57TH Ave SW Apt U104
Lakewood, WA 98499-6133

Phone

(253) 754-7216

NPI assigned

Aug 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lacey Anne Fender Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1336024447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 57TH AVE SW APT U104",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984996133",
            "telephone_number": "253-754-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 57TH AVE SW APT U104",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984996133",
            "telephone_number": "253-754-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LACEY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60806117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "FENDER",
            "middle_name": "ANNE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David a Cotant DDS PS
• David R Benson MD OD PLLC
• David R. Kennel, MD
• David Thomas Williams
• Katelyn Paige Davidson
• Marcella Davidson
• Patricia Davidson
• Darlene Marie Davies, BS
• Daniel David Davis
• Elizabeth Sarah Davis, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.