Dragonfly Medical Massage Studio LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

DRAGONFLY MEDICAL MASSAGE STUDIO LLC

Practice address

3405 W Nob Hill Blvd Ste a
Yakima, WA 98902-4732

Phone

(509) 961-8314

Fax

(509) 588-7916

NPI assigned

Sep 18, 2020

Last updated

Sep 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jerica Lennartz Mortimer, LMTNPI 1245875608

Title

Licensed Massage Therapist

Phone

(509) 961-8314

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerica Lennartz Mortimer, LMT

  • Massage Therapist
  • Yakima, WA
  • NPI 1245875608
  NPD Authorized official

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1518573179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W VIOLA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024939",
            "telephone_number": "509-961-8314",
            "fax_number": "509-588-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 W NOB HILL BLVD STE A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024732",
            "telephone_number": "509-961-8314",
            "fax_number": "509-588-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY MEDICAL MASSAGE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "MORTIMER",
        "authorized_official_first_name": "JERICA",
        "authorized_official_middle_name": "LENNARTZ",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "509-961-8314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MA61018816",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rosa Drewniany, RN
• Timothy A Drumhiller, DDS
• Julie J Dueis, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.