Active NPI
Caylee Michelle Coulter
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1437666286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60802502
- Practice address
- 1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517 - Phone
- (406) 544-5194
- NPI assigned
- Jan 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60802502 | WA | Primary |
Addresses
Primary practice location
1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517
Mailing address
1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517
Phone (406) 544-5194
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60802502 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1437666286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SE MILE HILL DR STE 150",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663517",
"telephone_number": "406-544-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE MILE HILL DR STE 150",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663517",
"telephone_number": "406-544-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "CAYLEE",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60802502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.