NPIMap

Organization Active NPI

Chad Duvall PLLC

Doing business as Innerconnection Therapeutic Massage

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1487865648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00011127 Issued in WA
Legal business name
CHAD DUVALL PLLC
Doing business as
Innerconnection Therapeutic Massage
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Chad D Duvall, LMPNPI 1629156013
Title
Member
Phone
(425) 802-3378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.