Jennifer M Fraser

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00017762 Issued in WA

Legal business name

JENNIFER M FRASER

Practice address

109 NW 1St Ave
Kelso, WA 98626-1726

Phone

(360) 423-3132

Fax

(360) 423-1890

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Marie Haulk-Fraser, LMPNPI 1124355961

Title

Owner

Phone

(360) 423-3132

Specialties & licenses 1

Addresses

Other names 1

• Absolute Massage Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Marie Haulk-Fraser, LMP

  • Chiropractor
  • Kelso, WA
  • NPI 1124355961
  NPD (past) Authorized official
• Nichole Kathleen Allee, LMP

  • Massage Therapist
  • Kelso, WA
  • NPI 1447535737
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1336586304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NW 1ST AVE",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261726",
            "telephone_number": "360-423-3132",
            "fax_number": "360-423-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NW 1ST AVE",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261726",
            "telephone_number": "360-423-3132",
            "fax_number": "360-423-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M FRASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "HAULK-FRASER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-423-3132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imholte & Anderson PLLC
• Richard R Imholte, D.D.S.
• Autumn Irvine, SUDP, CAAR
• Emily Jaskowiak
• Bryanna Marie Jellum, SUDP
• Adreia Jenice Jessop, ARNP, CNM, IBCLC
• Joji John, RPH
• Aimee D Johnson, LPN
• Ariel Jones
• Nicole Allyse Jones, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.