Active NPI
Melinda Kay Chantry, LMP
- Massage Therapist
- Cusick, WA
National Provider Identifier
1508202904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 6033581
- Practice address
- 396875 Highway 20
Cusick, WA 99119-9604 - Phone
- (509) 936-1869
- NPI assigned
- May 13, 2013
- Last updated
- May 13, 2013
- 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 | MA 6033581 | WA | Primary |
Addresses
Primary practice location
396875 Highway 20
Cusick, WA 99119-9604
Mailing address
396875 Highway 20
Cusick, WA 99119-9604
Phone (509) 936-1869
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 |
|---|---|---|---|
| MA 6033581 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1508202904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396875 HIGHWAY 20",
"city": "CUSICK",
"state": "WA",
"postal_code": "991199604",
"telephone_number": "509-936-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396875 HIGHWAY 20",
"city": "CUSICK",
"state": "WA",
"postal_code": "991199604",
"telephone_number": "509-936-1869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANTRY",
"first_name": "MELINDA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 6033581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cusick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.