Organization Active NPI

Spokane Valley Therapeutic Massage

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1386956530
Registry record updated Jul 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00011484 Issued in WA
Legal business name
SPOKANE VALLEY THERAPEUTIC MASSAGE
Practice address
12007 E Mansfield Ave
Spokane Valley, WA 99206-4740
Phone
(509) 954-4625
Fax
(509) 315-5045
NPI assigned
Jul 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2010

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

Authorized official

Name
Ms. Amanda L Padgett Stewart, LMPNPI 1861607202
Title
Massage Practitioner
Phone
(509) 954-4625

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00011484 WA Primary

Addresses

Primary practice location

12007 E Mansfield Ave
Spokane Valley, WA 99206-4740

Mailing address

12007 E Mansfield Ave
Spokane Valley, WA 99206-4740
Phone (509) 954-4625

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278201600000",
    "number": "1386956530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064740",
            "telephone_number": "509-954-4625",
            "fax_number": "509-315-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064740",
            "telephone_number": "509-954-4625",
            "fax_number": "509-315-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE VALLEY THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-04",
        "last_updated": "2010-07-04",
        "status": "A",
        "authorized_official_last_name": "PADGETT STEWART",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "509-954-4625",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2010; 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.