Individual provider Active NPI

Tiffany Latshaw

  • Massage Therapist
  • Bothell, WA
National Provider Identifier
1497289995
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60729874 Issued in WA
Practice address
206 203Rd St SE
Bothell, WA 98012-9699
Phone
(425) 218-3721
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60729874 WA Primary

Addresses

Primary practice location

206 203Rd St SE
Bothell, WA 98012-9699

Mailing address

206 203Rd St SE
Bothell, WA 98012-9699
Phone (425) 218-3721

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

LicenseStateTypeSpecialty
MA60729874WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
T'S Massage and Spa Treatments LLC Massage Therapist CurrentSince Sep 3, 2025 Accepting new patients

Locations

16303 Highway 99
Ste 2B
Lynnwood, WA 98087
Phone (425) 218-3721

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1497289995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 203RD ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980129699",
            "telephone_number": "425-218-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 203RD ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980129699",
            "telephone_number": "425-218-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATSHAW",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60729874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.