Organization Active NPI

Total Wellness Therapeutic Massage LLC

  • Point of Service
  • Seattle, WA
National Provider Identifier
1558556993
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
594681 Issued in WA
Legal business name
TOTAL WELLNESS THERAPEUTIC MASSAGE LLC
Practice address
4347 Roosevelt Way NE
Seattle, WA 98105-4717
Phone
(206) 423-7922
Fax
(206) 633-5559
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Kealoha Taylor, L.M.T.NPI 1518152941
Title
Owner
Phone
(206) 423-7922

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
Point of Service 305S00000X 594681 WA Primary

Addresses

Primary practice location

4347 Roosevelt Way NE
Seattle, WA 98105-4717

Mailing address

PO Box 22245
Seattle, WA 98122-0245
Phone (206) 423-7922

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1558556993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22245",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981220245",
            "telephone_number": "206-423-7922",
            "fax_number": "206-633-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054717",
            "telephone_number": "206-423-7922",
            "fax_number": "206-633-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KEALOHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-423-7922",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "594681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.