Mary Jeanette Borgstrom, LMP RBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

14602 Ok Mill Rd
Snohomish, WA 98290-5651

Phone

(425) 231-6915

NPI assigned

Apr 17, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1487870697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 OK MILL RD",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982905651",
            "telephone_number": "425-231-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14602 OK MILL RD",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982905651",
            "telephone_number": "425-231-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGSTROM",
        "first_name": "MARY",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "LMP RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Blyshchyk, PHARMD
• Kyaw Thu Bo, MD
• Katherine Boisseranc, DPT
• Cherokee Dawn Boman, NP
• Annalise Boon
• Marilyn Costas Borromeo-Wesner, ARNP
• Stacy Marie Bowker, N.D.
• Jessica Aimee Bowman, LMFT
• Ashley Alisa Bradshaw, RPH
• Althea Lynn Brandis, MA

• Massage Therapist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.