Active NPI
Chad Duvall PLLC
- Massage Therapist
- Seattle, WA
National Provider Identifier
1487865648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00011127
- Legal business name
- CHAD DUVALL PLLC
- Practice address
- 2722 Eastlake Ave E
Suite 360
Seattle, WA 98102-3143 - Phone
- (425) 802-3378
- Fax
- (206) 322-8520
- NPI assigned
- May 26, 2007
- 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
- Mr. Chad D Duvall, LMP
- Title
- Member
- Phone
- (425) 802-3378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00011127 | WA | Primary |
Addresses
Primary practice location
2722 Eastlake Ave E
Suite 360
Seattle, WA 98102-3143
Mailing address
2722 Eastlake Ave E
Suite 360
Seattle, WA 98102-3143
Phone (425) 802-3378
Other names 1
- Innerconnection Therapeutic Massage
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487865648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 EASTLAKE AVE E",
"address_2": "SUITE 360",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023143",
"telephone_number": "425-802-3378",
"fax_number": "206-322-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 EASTLAKE AVE E",
"address_2": "SUITE 360",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023143",
"telephone_number": "425-802-3378",
"fax_number": "206-322-8520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAD DUVALL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUVALL",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "425-802-3378",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMP"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00011127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innerconnection Therapeutic Massage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.