Dawn Elizabeth Slack, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61229933 Issued in WA

Practice address

202 W Main St
Monroe, WA 98272-1819

Phone

(425) 780-7070

NPI assigned

Oct 2, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Theta Enterprises LLC

  • Massage Therapist
  • Monroe, WA
  • NPI 1174407720
  NPD

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1508730433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22225 E LOST LAKE RD",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966820",
            "telephone_number": "617-666-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721819",
            "telephone_number": "425-780-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15610 NE Woodinville Duvall Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980727069",
            "country_code": "US",
            "telephone_number": "425-368-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLACK",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "MT3893",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61229933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skinenvy LLC
• Anne Cathryn Skoog, LMP LICENSED MASSAGE
• Sky Valley Chiropractic Clinic P.S.
• Sky Valley Psychedelic Medical
• Sky Valley Wellness, LLC
• Chrystal Slatter, CERTIFIED PEER COUNS
• Gary O Smith, RPH
• Kristin Tomblin Smith, LMP
• Logan Donovon Smith, BS
• Michelle Christina Smith

• Massage Therapist in Monroe, WA
• Providers in Monroe, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.