Kristina Puncochar

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60320398 Issued in WA

Practice address

10312 120TH St E Ste 9
Puyallup, WA 98374-2100

Phone

(253) 380-6689

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1396086922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10312 120TH ST E STE 9",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10312 120TH ST E STE 9",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742100",
            "telephone_number": "253-380-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24612 104th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980304965",
            "country_code": "US",
            "telephone_number": "253-852-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNCOCHAR",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60320398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puget Sound Specialty Physicians PLLC
• Puget Sound Specialty Physicians PLLC
• Jennifer Young Pulido
• Edward A Pullen, MD
• Christy Ann Pullman
• Purity Medical Spa of Washington, LLC
• John Purrington, M. ED
• Susan M Putaansuu, ARNP
• John D. Putnam, M.D.
• Eric Geoffrey Puttler, M.D.

• Massage Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.