NPIMap

Organization Active NPI

Audrey M.K. Yan

Doing business as Associated Massage Therapy

  • Specialist
  • Kent, WA
National Provider Identifier
1528114394
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00005757 Issued in WA
Legal business name
AUDREY M.K. YAN
Doing business as
Associated Massage Therapy
Practice address
24604 104TH Ave SE # 203
Kent, WA 98030-4965
Phone
(253) 859-2373
Fax
(253) 856-8754
NPI assigned
Jan 26, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Audrey M.K. Yan, LMPNPI 1144397183
Title
Owner
Phone
(253) 854-1823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00005757 WA Primary

Addresses

Primary practice location

24604 104TH Ave SE # 203
Kent, WA 98030-4965

Mailing address

9620 S. 203Rd Street
Kent, WA 98031
Phone (253) 854-1823

Other names 1

  • Associated Massage Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1528114394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 S. 203RD STREET",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98031",
            "telephone_number": "253-854-1823",
            "fax_number": "253-854-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24604 104TH AVE SE # 203",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304965",
            "telephone_number": "253-859-2373",
            "fax_number": "253-856-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY M.K. YAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "M.K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-854-1823",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00005757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.