Active NPI
Kathleen Tawlks, LMP
- Massage Therapist
- Snohomish, WA
National Provider Identifier
1487105565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60677416
- Practice address
- 17416 Highway 9
Suite B
Snohomish, WA 98296-6304 - Phone
- (360) 668-2000
- NPI assigned
- Oct 24, 2016
- Last updated
- Oct 27, 2016
- 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 | MA60677416 | WA | Primary |
Addresses
Primary practice location
17416 Highway 9
Suite B
Snohomish, WA 98296-6304
Mailing address
12103 47TH Dr SE
Everett, WA 98208-9681
Phone (206) 227-6131
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 |
|---|---|---|---|
| MA60677416 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Wellness Center, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1487105565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12103 47TH DR SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982089681",
"telephone_number": "206-227-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17416 HIGHWAY 9",
"address_2": "SUITE B",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982966304",
"telephone_number": "360-668-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWLKS",
"first_name": "KATHLEEN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60677416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.