Crossfunction Sports Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CROSSFUNCTION SPORTS MASSAGE

Practice address

16000 Bothell Everett Hwy Ste 161
Mill Creek, WA 98012-1742

Phone

(425) 595-3436

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Jenny Mapes, LMT

Title

Owner

Phone

(425) 418-8588

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1386119709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 164TH ST SW APT F107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980877839",
            "telephone_number": "425-772-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 BOTHELL EVERETT HWY STE 161",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121742",
            "telephone_number": "425-595-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSFUNCTION SPORTS MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "MAPES",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-418-8588",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316476112",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Cotton
• Dwight Edward Cottrill, D.D.S.
• Barbara Seel Couvrette, PT
• Cynthia Cox
• Julie Crew, LABA
• Crossfunction Sports Massage, PLLC
• Crossfunction Sports Recovery, PLLC
• Kandice Lynnette-Zophia Crown-Payne, ARNP
• Karen Cubas, OT
• Cason Frederick Culberson, DDS

• Massage Therapist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.