Active NPI
Jon William Trumbull, L.M.P.
- Massage Therapist
- Lacey, WA
National Provider Identifier
1457626657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60271085
- Practice address
- 8119 N Bicentennial Loop SE # a
Lacey, WA 98503-1709 - Phone
- (360) 470-0032
- NPI assigned
- Mar 21, 2012
- Sex
- Male
- 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 | MA60271085 | WA | Primary |
Addresses
Primary practice location
8119 N Bicentennial Loop SE # a
Lacey, WA 98503-1709
Mailing address
8119 N Bicentennial Loop SE # a
Lacey, WA 98503-1709
Phone (360) 470-0032
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60271085 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1457626657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8119 N BICENTENNIAL LOOP SE # A",
"city": "LACEY",
"state": "WA",
"postal_code": "985031709",
"telephone_number": "360-470-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8119 N BICENTENNIAL LOOP SE # A",
"city": "LACEY",
"state": "WA",
"postal_code": "985031709",
"telephone_number": "360-470-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMBULL",
"first_name": "JON",
"middle_name": "WILLIAM",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60271085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.