Quintessential Massage, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00022464 Issued in WA

Legal business name

QUINTESSENTIAL MASSAGE, PLLC

Practice address

1122 Bryan St
Wenatchee, WA 98801-2505

Phone

(509) 664-2912

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Becky Pottorff

Title

Owner

Phone

(509) 664-2912

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447283478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BRYAN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012505",
            "telephone_number": "509-664-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BRYAN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012505",
            "telephone_number": "509-664-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENTIAL MASSAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTTORFF",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-664-2912"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0210199",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.