Puyallup Integrative Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00009118 Issued in WA

Legal business name

PUYALLUP INTEGRATIVE MASSAGE LLC

Practice address

823 W Main St Ste 6
Sumner, WA 98390-1151

Phone

(253) 268-0078

Fax

(253) 446-6681

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Peggy Sue Resseau, LMP

Title

Owner/Provider

Phone

(253) 370-4223

Specialties & licenses 1

Addresses

Locations

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.

• Peggy Sue Melnyk, LMT

  • Massage Therapist
  • Puyallup, WA
  • NPI 1124018643
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1497187611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W MAIN ST STE 6",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901151",
            "telephone_number": "253-268-0078",
            "fax_number": "253-446-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W MAIN ST STE 6",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901151",
            "telephone_number": "253-268-0078",
            "fax_number": "253-446-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUYALLUP INTEGRATIVE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "RESSEAU",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "253-370-4223",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Verne Qualls, M.A., CCC-SLP
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• Massage Therapist in Sumner, WA
• Providers in Sumner, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.