Jeffery Neal Powell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61453623 Issued in WA

Practice address

3805 Pine St
Longview, WA 98632-4925

Phone

(214) 830-6964

NPI assigned

Sep 12, 2025

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cke Longevity LLC

  dba Elements Therapeutic Massage

  • Massage Therapist
  • Vancouver, WA
  • NPI 1104263599
  NPD (past)

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1407727555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 PINE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324925",
            "telephone_number": "214-830-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 PINE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324925",
            "telephone_number": "214-830-6964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 NE 134th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852718",
            "country_code": "US",
            "telephone_number": "360-574-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JEFFERY",
        "middle_name": "NEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61453623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Potter, MA, LMHC, SUDP
• John Robert Potter, CDPT
• Jennifer Irene Potterton, MSW LICSW
• Tameran Christine Poulsen, BA, R-AAC
• Jessica Claus Poulson
• Catherine Pratt
• Orrin Preheim, PT, DPT
• Premier Physical Therapy, Inc
• Francis W Prescott, DO
• Evan Walker Prewitt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.