NPIMap

Organization Active NPI

Fitspa, LLC

Doing business as The Well

  • Massage Therapist
  • Chehalis, WA
National Provider Identifier
1346846839
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
FITSPA, LLC
Doing business as
The Well
Practice address
381 S Market Blvd
Chehalis, WA 98532-3041
Phone
(425) 202-5210
Fax
(360) 242-2795
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Karla Ann Nelson, LMTNPI 1730430265
Title
President
Phone
(425) 202-5210

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

381 S Market Blvd
Chehalis, WA 98532-3041

Mailing address

1673 S Market Blvd
PMB 77
Chehalis, WA 98532-3826
Phone (425) 202-5210

Other names 1

  • The Well Doing business as

National Provider Directory

National Provider Directory

Locations

405 Black Hills Ln SW
Ste D2
Olympia, WA 98502
Phone (425) 202-5210

Practitioners & affiliated clinicians

Practitioners 12

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": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1346846839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 S MARKET BLVD",
            "address_2": "PMB 77",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323826",
            "telephone_number": "425-202-5210",
            "fax_number": "360-242-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323041",
            "telephone_number": "425-202-5210",
            "fax_number": "360-242-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITSPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-202-5210",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Well",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.