Pacific Northwest Massage and Cryotherapy, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PACIFIC NORTHWEST MASSAGE AND CRYOTHERAPY, LLC

Practice address

1 Lake Bellevue Dr Ste 208
Bellevue, WA 98005-2417

Phone

(561) 945-7683

Fax

(206) 260-4339

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Daenna Lynne January, LMTNPI 1801618921

Title

Licensed Massage Therapist, Owner

Phone

(561) 945-7683

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daenna Lynne January, LMT

  • Massage Therapist
  • Bellevue, WA
  • NPI 1801618921
  NPD Authorized official

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1447066436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 SE 29TH ST",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402808",
            "telephone_number": "561-945-7683",
            "fax_number": "206-260-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE BELLEVUE DR STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052417",
            "telephone_number": "561-945-7683",
            "fax_number": "206-260-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST MASSAGE AND CRYOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "JANUARY",
        "authorized_official_first_name": "DAENNA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST, OWNER",
        "authorized_official_telephone_number": "561-945-7683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Handworks Inc., P.S.
• Pacific Medical Associates PLLC
• Pacific Medical Staffing Inc.
• Pacific Medical Systems, Inc.
• Pacific North Chiropractic Inc.
• Pacific Northwest Retina PLLC
• Pacific Northwest Treatment Services
• Pacific NW Fertility and Ivf Specialists. I. PLLC
• Pacific Oculofacial Plastic Surgery PLLC
• Pacific Seastar Dental PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.