Elisabeth A. Kubo, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60198012 Issued in WA

Practice address

715 Commerce St
Tacoma, WA 98402-4502

Phone

(253) 617-4667

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lefore'S Skin Care & Health Spa

  • Massage Therapist
  • Walla Walla, WA
  • NPI 1881918621
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487923389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 COMMERCE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024502",
            "telephone_number": "253-617-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 COMMERCE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024502",
            "telephone_number": "253-617-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 E Poplar St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993623009",
            "country_code": "US",
            "telephone_number": "509-525-3336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 Commerce St Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984024513",
            "country_code": "US",
            "telephone_number": "253-752-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBO",
        "first_name": "ELISABETH",
        "middle_name": "A.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60198012",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60198012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ku, D.D.S.
• Stephen C Ku, DO
• Martin A Kubeja, MD
• Hannah Kubicek, BA
• Stephen Peter Kubiszewski, LMHC, MAC, CEAP
• John Ryan Kubota, PHARM.D.
• Valentina Kucher
• Bernadette Kuchinsky, LCSW
• Emili M. Kuchler
• Kathleen Elise Kucklick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.