NPIMap

Organization Active NPI

Avalon Massage and Day Spa LTD Limited

  • Mechanotherapist
  • Sequim, WA
National Provider Identifier
1396916375
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA00017716 Issued in WA
Legal business name
AVALON MASSAGE AND DAY SPA LTD LIMITED
Practice address
660 W Evergreen Farm Way
Sequim, WA 98382-5097
Phone
(360) 582-9977
Fax
(360) 582-9972
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
AVALON MASSAGE AND DAY SPA LTD LIMITEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Mrs. Mindy Wiegel, LMP
Title
Owner
Phone
(360) 582-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172M00000X MA00017716 WA Primary

Addresses

Primary practice location

660 W Evergreen Farm Way
Sequim, WA 98382-5097

Mailing address

660 W Evergreen Farm Way
Sequim, WA 98382-5097
Phone (360) 582-9977

National Provider Directory

National Provider Directory
Tax ID family
Avalon Massage Day Spa3 organizations share this tax ID, including this one
Part of
Avalon Massage Day Spa

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1396916375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W EVERGREEN FARM WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825097",
            "telephone_number": "360-582-9977",
            "fax_number": "360-582-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W EVERGREEN FARM WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825097",
            "telephone_number": "360-582-9977",
            "fax_number": "360-582-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MASSAGE AND DAY SPA LTD LIMITED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVALON MASSAGE AND DAY SPA LTD LIMITED",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "WIEGEL",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-582-9977",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00017716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.