Individual provider Active NPI

Deletha Rae Wright, LMT

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1437619335
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60948236 Issued in WA
Practice address
8112 112TH Street CT E
Puyallup, WA 98373-7815
Phone
(253) 970-8256
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60948236 WA Primary

Addresses

Primary practice location

8112 112TH Street CT E
Puyallup, WA 98373-7815

Mailing address

15109 104TH Avenue CT E
Puyallup, WA 98374-3752
Phone (253) 332-8213

Other practice location 1

15109 104th Avenue Ct E
Puyallup, WA 98374-3752
Phone (253) 332-8213

Other names 1

  • Deletha Rae Wright Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60948236WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1437619335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15109 104TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983743752",
            "telephone_number": "253-332-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 112TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737815",
            "telephone_number": "253-970-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15109 104th Avenue Ct E",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983743752",
            "country_code": "US",
            "telephone_number": "253-332-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DELETHA",
        "middle_name": "RAE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60948236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELETHA",
            "last_name": "WRIGHT",
            "middle_name": "RAE",
            "credential": "DELETHA WRIGHT, LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.