NPIMap

Organization Active NPI

Balanced Body Massage, LLC

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1447579362
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BALANCED BODY MASSAGE, LLC
Practice address
10909 Portland Ave E
Suite F
Tacoma, WA 98445-5252
Phone
(253) 970-0433
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Stephanie Renee Marcelle, LMPNPI 1194851014
Title
Managing Member
Phone
(253) 970-0433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10909 Portland Ave E
Suite F
Tacoma, WA 98445-5252

Mailing address

10909 Portland Ave E
Suite F
Tacoma, WA 98445-5252
Phone (253) 970-0433

National Provider Directory

National Provider Directory

Locations

10909 Portland Ave E
Ste F
Tacoma, WA 98445
Phone (253) 535-1096

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1447579362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 PORTLAND AVE E",
            "address_2": "SUITE F",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984455252",
            "telephone_number": "253-970-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 PORTLAND AVE E",
            "address_2": "SUITE F",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984455252",
            "telephone_number": "253-970-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "MARCELLE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "253-970-0433",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.