Organization Active NPI

Soul Scents & Bodywork LLC

  • Massage Therapist
  • Enumclaw, WA
National Provider Identifier
1417198979
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00016541 Issued in WA
Legal business name
SOUL SCENTS & BODYWORK LLC
Practice address
853 Watson St
Enumclaw, WA 98022
Phone
(360) 825-5757
Fax
(253) 862-6254
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Ms. Marjorie Michelle Thibert, LMPNPI 1588783906
Title
Owner
Phone
(253) 221-7312

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: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00016541 WA Primary

Addresses

Primary practice location

853 Watson St
Enumclaw, WA 98022

Mailing address

4940 N Vista Dr E
Bonney Lake, WA 98391-8609
Phone (253) 221-7312

National Provider Directory

National Provider Directory

Locations

853 Watson St N
Enumclaw, WA 98022
Phone (360) 768-4045

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": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1417198979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 N VISTA DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918609",
            "telephone_number": "253-221-7312",
            "fax_number": "253-862-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WATSON ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "98022",
            "telephone_number": "360-825-5757",
            "fax_number": "253-862-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SCENTS & BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "THIBERT",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-221-7312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.