Organization Active NPI

The Temple of Venus, Our Lady of Light

  • Massage Therapist
  • North Bend, WA
National Provider Identifier
1558072272
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THE TEMPLE OF VENUS, OUR LADY OF LIGHT
Practice address
983 Stone Brook Dr SW
North Bend, WA 98045-9132
Phone
(425) 428-9597
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
French Signy Walker, LMT, RYTNPI 1407130388
Title
Director, Ordm
Phone
(425) 428-9597

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

983 Stone Brook Dr SW
North Bend, WA 98045-9132

Mailing address

983 Stone Brook Dr SW
North Bend, WA 98045-9132
Phone (425) 428-9597

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1558072272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 STONE BROOK DR SW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459132",
            "telephone_number": "425-428-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 STONE BROOK DR SW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459132",
            "telephone_number": "425-428-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TEMPLE OF VENUS, OUR LADY OF LIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "FRENCH",
        "authorized_official_middle_name": "SIGNY",
        "authorized_official_title_or_position": "DIRECTOR, ORDM",
        "authorized_official_telephone_number": "425-428-9597",
        "authorized_official_credential": "LMT, RYT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.