NPIMap

Organization Active NPI

Copper Moon Massage Therapy

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1366885964
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
602443496 Issued in WA
Legal business name
COPPER MOON MASSAGE THERAPY
Practice address
312 Columbia St NW
Olympia, WA 98501-1031
Phone
(360) 357-1390
Fax
(360) 357-1391
NPI assigned
Apr 12, 2013
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Ms. Kari Jones, LMP
Title
Owner/LMP
Phone
(360) 357-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 602443496 WA Primary

Addresses

Primary practice location

312 Columbia St NW
Olympia, WA 98501-1031

Mailing address

312 Columbia St NW
Olympia, WA 98501-1031
Phone (360) 357-1390

National Provider Directory

National Provider Directory

Locations

312 Columbia St NW
Olympia, WA 98501
Phone (360) 357-1390

Practitioners & affiliated clinicians

Practitioners 8

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": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1366885964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 COLUMBIA ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011031",
            "telephone_number": "360-357-1390",
            "fax_number": "360-357-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COLUMBIA ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011031",
            "telephone_number": "360-357-1390",
            "fax_number": "360-357-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER MOON MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OWNER/LMP",
        "authorized_official_telephone_number": "360-357-1390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "602443496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.