Active NPI
The Good Life Massage
- Massage Therapist
- Renton, WA
National Provider Identifier
1467717314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60035114
- Legal business name
- THE GOOD LIFE MASSAGE
- Practice address
- 332 Burnett Ave S
Ste. M
Renton, WA 98057-2505 - Phone
- (253) 737-7621
- NPI assigned
- Jul 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Scott
- Title
- Co-Owner
- Phone
- (253) 737-7621
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60035114 | WA | Primary |
| Massage Therapist | 225700000X | MA 60252267 | WA |
Addresses
Primary practice location
332 Burnett Ave S
Ste. M
Renton, WA 98057-2505
Mailing address
332 Burnett Ave S
Ste. M
Renton, WA 98057-2505
National Provider Directory
National Provider DirectoryLocations
332 Burnett Ave S
Ste M
Renton, WA 98057
Phone (253) 737-7621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341532800000",
"number": "1467717314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 BURNETT AVE S",
"address_2": "STE. M",
"city": "RENTON",
"state": "WA",
"postal_code": "980572505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 BURNETT AVE S",
"address_2": "STE. M",
"city": "RENTON",
"state": "WA",
"postal_code": "980572505",
"telephone_number": "253-737-7621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GOOD LIFE MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "253-737-7621"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60035114",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60252267",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.