Active NPI
Liliana Maria Avanto, LMP
- Massage Therapist
- Enumclaw, WA
National Provider Identifier
1497083356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA6093380
- Practice address
- 853 Watson St.
Suite 100
Enumclaw, WA 98022 - Phone
- (253) 221-7312
- Fax
- (253) 221-7312
- NPI assigned
- Dec 3, 2009
- 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 | MA6093380 | WA | Primary |
Addresses
Primary practice location
853 Watson St.
Suite 100
Enumclaw, WA 98022
Mailing address
853 Watson St.
Suite 100
Enumclaw, WA 98022
Phone (253) 221-7312
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 |
|---|---|---|---|
| MA6093380 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1497083356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 WATSON ST.",
"address_2": "SUITE 100",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "98022",
"telephone_number": "253-221-7312",
"fax_number": "253-862-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 WATSON ST.",
"address_2": "SUITE 100",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "98022",
"telephone_number": "253-221-7312",
"fax_number": "253-221-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVANTO",
"first_name": "LILIANA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA6093380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.