Active NPI
Valley Massage Clinic
- Specialist
- Liberty Lake, WA
National Provider Identifier
1508120510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- VALLEY MASSAGE CLINIC
- Practice address
- 2310 N Molter Rd
Ste 108
Liberty Lake, WA 99019-5036 - Phone
- (509) 924-4443
- Fax
- (509) 924-1249
- NPI assigned
- Jun 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Meltingtallow, LMP
- Title
- Owner
- Phone
- (509) 921-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2310 N Molter Rd
Ste 108
Liberty Lake, WA 99019-5036
Mailing address
12121 E Broadway Ave Ste 5B
Spokane Valley, WA 99206-4972
Phone (509) 921-9800
National Provider Directory
National Provider Directory- Tax ID family
- Valley Massage Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Massage Therapist
- Spokane Valley, WA
- NPI 1952765265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1508120510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 E BROADWAY AVE STE 5B",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064972",
"telephone_number": "509-921-9800",
"fax_number": "509-921-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N MOLTER RD",
"address_2": "STE 108",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990195036",
"telephone_number": "509-924-4443",
"fax_number": "509-924-1249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY MASSAGE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "MELTINGTALLOW",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-921-9800",
"authorized_official_credential": "LMP"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.