Rooted Spruce Massage and Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ROOTED SPRUCE MASSAGE AND BODYWORK

Practice address

120 NE 117TH Ave RM 8
Vancouver, WA 98684-5020

Phone

(971) 770-1360

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Imuya Lee Dooley McDaniel, LMTNPI 1679998330

Title

Owner

Phone

(971) 770-1360

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.

• Imuya Lee Dooley McDaniel, LMT

  • Massage Therapist
  • Clackamas, OR
  • NPI 1679998330
  NPD Authorized official

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1366092132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE 117TH AVE RM 8",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845020",
            "telephone_number": "971-770-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE 117TH AVE RM 8",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845020",
            "telephone_number": "971-770-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED SPRUCE MASSAGE AND BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "IMUYA",
        "authorized_official_middle_name": "LEE DOOLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-770-1360",
        "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": []
}

• Makayla Rood
• Scott Rooker, D.D.S.
• Camay Sue Rooney, PMHNP-BC
• Violet Ann Rooney, LCSW
• Andrew Thomas Root, M.D.
• Roots.
• Lorile Ellen Roper
• Charis Rosales, MSW, LICSW, MHP
• Krista F Roscoe, ARNP
• Rose Family Medicine, PLLC

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, 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 13, 2019; 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.