Organization Active NPI

Massage Connection, PLLC

  • Specialist
  • Lynnwood, WA
National Provider Identifier
1437555273
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00017772 Issued in WA
Legal business name
MASSAGE CONNECTION, PLLC
Practice address
16521 13TH Ave W
Lynnwood, WA 98037-8528
Phone
(206) 356-7932
Fax
(425) 408-1062
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Keely N Stewart, LMP
Title
Owner,Massage Therapist
Phone
(206) 356-7932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00017772 WA Primary

Addresses

Primary practice location

16521 13TH Ave W
Lynnwood, WA 98037-8528

Mailing address

16521 13TH Ave W
Lynnwood, WA 98037-8528
Phone (206) 356-7932

National Provider Directory

National Provider Directory

Locations

16521 13th Ave W
Lynnwood, WA 98037
Phone (206) 356-7932

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1437555273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378528",
            "telephone_number": "206-356-7932",
            "fax_number": "425-408-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378528",
            "telephone_number": "206-356-7932",
            "fax_number": "425-408-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE CONNECTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KEELY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER,MASSAGE THERAPIST",
        "authorized_official_telephone_number": "206-356-7932",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.