Active NPI
Suze St Louis, LMP
- Massage Therapist
- Kent, WA
National Provider Identifier
1457620072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60237202
- Practice address
- 10700 SE 208TH St Ste 207
Kent, WA 98031-5545 - Phone
- (253) 854-3185
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- No
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 | MA60237202 | WA | Primary |
Addresses
Primary practice location
10700 SE 208TH St Ste 207
Kent, WA 98031-5545
Mailing address
5525 College Glen Loop SE Apt C104
Lacey, WA 98503-5111
Phone (360) 556-7758
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60237202 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Needles Acupuncture, PLLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1457620072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 COLLEGE GLEN LOOP SE APT C104",
"city": "LACEY",
"state": "WA",
"postal_code": "985035111",
"telephone_number": "360-556-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 SE 208TH ST STE 207",
"city": "KENT",
"state": "WA",
"postal_code": "980315545",
"telephone_number": "253-854-3185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST LOUIS",
"first_name": "SUZE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60237202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.