Bailey Dawn Poe, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60261621 Issued in WA

Practice address

14601 12TH Ave E
Tacoma, WA 98445-2686

Phone

(253) 355-9970

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2013.

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1508208679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 12TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984452686",
            "telephone_number": "253-355-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 12TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984452686",
            "telephone_number": "253-355-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "BAILEY",
        "middle_name": "DAWN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60261621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bradley Richard Poe, PA-C, MPAS
• John Carl Poe, DO
• Olivia Poe
• Sundari Poegoeh, PHARMD
• Nancy Anne Poffenberger, PA-C; RPH

• All providers in Tacoma, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.