NPIMap

Organization Active NPI

Body Harmony Massage

  • Health Service Clinic/Center
  • Cheney, WA
National Provider Identifier
1457522518
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MA00025203 Issued in WA
Legal business name
BODY HARMONY MASSAGE
Practice address
1002 1St St
Cheney, WA 99004-1708
Phone
(509) 475-1238
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Mrs. Marisa Ellen Wunderlich, LMPNPI 1811167406
Title
Owner
Phone
(509) 475-1238

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
Health Service Clinic/Center 261QH0100X MA00025203 WA Primary

Addresses

Primary practice location

1002 1St St
Cheney, WA 99004-1708

Mailing address

1002 1St St
Cheney, WA 99004-1708
Phone (509) 475-1238

Other identifiers 7

IdentifierTypeStateIssuer
1811167406OtherWALIFE WISE
8111167406OtherWACIGNA
1811167406OtherWAUNIFORM MEDICAL PLAN
1811167406OtherWAAETNA
1811167406OtherWAALTERNARE
1811167406MedicaidWA
1811167406OtherWAAMERICAN WHOLE HEALTH

Other names 1

  • Body Harmony Masaage Doing business as

National Provider Directory

National Provider Directory

Locations

1002 1st St
Cheney, WA 99004
Phone (509) 475-1238

Practitioners & affiliated clinicians

Practitioners 1

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1457522518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041708",
            "telephone_number": "509-475-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041708",
            "telephone_number": "509-475-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY HARMONY MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "WUNDERLICH",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-475-1238",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "MA00025203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFE WISE",
            "identifier": "1811167406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8111167406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM MEDICAL PLAN",
            "identifier": "1811167406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1811167406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTERNARE",
            "identifier": "1811167406",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811167406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN WHOLE HEALTH",
            "identifier": "1811167406",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Harmony Masaage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheney, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.