Lake Washington Massage and Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

LAKE WASHINGTON MASSAGE AND WELLNESS LLC

Practice address

15965 NE 85TH St Ste 102
Redmond, WA 98052-3593

Phone

(425) 882-9065

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Jon Goodman

Title

Managing Member

Phone

(520) 275-9005

Specialties & licenses 1

Addresses

Other names 1

• Lake Washington Wellness Doing business as

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1427698299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15965 NE 85TH ST STE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523593",
            "telephone_number": "425-882-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15965 NE 85TH ST STE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523593",
            "telephone_number": "425-882-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WASHINGTON MASSAGE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "520-275-9005"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Washington Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen H La, ND
• Lisa Labranche
• Eva Lafollette, M.A., LMHC
• Megan Justine Lee Laine, O.D.
• Morgan Laird, ARNP
• Lake Washington Massage Therapy
• Lake Washington Massage Therapy Inc
• Lake Washington School District
• Luukia Francesca Lalonde, CMHC
• Kenneth Lam, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.