Individual provider Active NPI

Armani Iacolucci, MA60676566

  • Massage Therapist
  • Liberty Lake, WA
National Provider Identifier
1376241364
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60676566 Issued in WA
Practice address
2207 N Molter Rd Ste 250
Liberty Lake, WA 99019-7582
Phone
(509) 893-9939
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60676566 WA Primary

Addresses

Primary practice location

2207 N Molter Rd Ste 250
Liberty Lake, WA 99019-7582

Mailing address

321 W 8TH Ave # 100
Spokane, WA 99204-2505
Phone (509) 607-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60676566WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Lake Chiropractic PS CurrentSince Feb 26, 2023 Accepting new patients

Locations

2207 N Molter Rd
Ste 250
Liberty Lake, WA 99019
Phone (208) 964-6466

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1376241364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W 8TH AVE # 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042505",
            "telephone_number": "509-607-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 N MOLTER RD STE 250",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197582",
            "telephone_number": "509-893-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOLUCCI",
        "first_name": "ARMANI",
        "credential": "MA60676566",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60676566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.