Organization Active NPI

Sanctuary Massage and Wellness PLLC

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1386314169
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SANCTUARY MASSAGE AND WELLNESS PLLC
Practice address
601 Main St Ste 209
Vancouver, WA 98660-3403
Phone
(360) 558-8166
NPI assigned
Sep 14, 2021
Last updated
Jun 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Authorized official

Name
Elizabeth Dearmin, LMTNPI 1730540733
Title
Business Owner
Phone
(360) 558-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

601 Main St Ste 209
Vancouver, WA 98660-3403

Mailing address

1124 N 1St Ave
Kelso, WA 98626-3600
Phone (360) 558-8166

National Provider Directory

National Provider Directory

Locations

410 E 20th St
Ste 6
Vancouver, WA 98663
Phone (503) 679-2508

601 Main St
Ste 209
Vancouver, WA 98660
Phone (360) 558-8166

Practitioners & affiliated clinicians

Practitioners 1

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": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687564800000",
    "number": "1386314169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N 1ST AVE",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263600",
            "telephone_number": "360-558-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN ST STE 209",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603403",
            "telephone_number": "360-558-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY MASSAGE AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A",
        "authorized_official_last_name": "DEARMIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "360-558-8166",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.