NPIMap

Organization Active NPI

Bodywork Massage

  • Massage Therapist
  • Battle Ground, WA
National Provider Identifier
1548698186
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60156857 Issued in WA
Legal business name
BODYWORK MASSAGE
Practice address
1710 W Main St
Battle Ground, WA 98604-4316
Phone
(360) 624-1880
NPI assigned
Oct 16, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Jennifer L ColbertNPI 1497061006
Title
Owner
Phone
(360) 624-1880

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
Massage Therapist 225700000X MA60156857 WA Primary

Addresses

Primary practice location

1710 W Main St
Battle Ground, WA 98604-4316

Mailing address

811 NW 13TH Ave
Battle Ground, WA 98604-3247

National Provider Directory

National Provider Directory

Locations

1710 W Main St
Battle Ground, WA 98604
Phone (360) 624-1880

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1548698186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 NW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W MAIN ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044316",
            "telephone_number": "360-624-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORK MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-624-1880"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60156857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.