Individual provider Active NPI

Karissa Ashley Murdoch, LMT

  • Massage Therapist
  • Centralia, WA
National Provider Identifier
1457758104
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60508775 Issued in WA
Practice address
1015 Johnson Rd
Centralia, WA 98531-1713
Phone
(360) 520-9302
Fax
(360) 669-5130
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60508775 WA Primary

Addresses

Primary practice location

1015 Johnson Rd
Centralia, WA 98531-1713

Mailing address

311 Cedar CT
Winlock, WA 98596-9777
Phone (360) 520-9302

Other names 1

  • Karissa Ashley Steele Former name

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

LicenseStateTypeSpecialty
MA60508775WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1457758104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CEDAR CT",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969777",
            "telephone_number": "360-520-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 JOHNSON RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311713",
            "telephone_number": "360-520-9302",
            "fax_number": "360-669-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCH",
        "first_name": "KARISSA",
        "middle_name": "ASHLEY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60508775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARISSA",
            "last_name": "STEELE",
            "middle_name": "ASHLEY",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.