Boualoys Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024146 Issued in WA

Legal business name

BOUALOYS MASSAGE LLC

Practice address

689 Strander Blvd
Building C
Tukwila, WA 98188

Phone

(206) 992-6798

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Boualoy Manivanh AbandoNPI 1205039153

Title

LMP

Phone

(206) 992-6798

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Boualoy Manivanh Abando, LMP

  • Massage Therapist
  • Tukwila, WA
  • NPI 1205039153
  NPD (past) Authorized official

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1356591291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 STRANDER BLVD",
            "address_2": "BUILDING C",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882922",
            "telephone_number": "206-992-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 STRANDER BLVD",
            "address_2": "BUILDING C",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-992-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUALOYS MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "ABANDO",
        "authorized_official_first_name": "BOUALOY",
        "authorized_official_middle_name": "MANIVANH",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "206-992-6798",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Shevonne Borger, LMHCA, ATR-P
• Kristine Joy Borgonia
• Christopher Brian Borgstadt, BA
• Hannah Borja
• Kory Botelho, O.D.
• Anca Maria Boudreaux, LMHC, NCC
• Phoukham Kelly Bounkeua, PHD
• Kumiko Mizutani Boutz, LMHC
• Natalie Bowerman
• Jacqueline Marie Bowlin

• Massage Therapist in Tukwila, WA
• Providers in Tukwila, 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 29, 2008; 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.