Maggie Jean Andrus

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61090868 Issued in WA

Practice address

2808 Coventry LN SW
Tumwater, WA 98512-0494

Phone

(913) 653-9881

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1568070076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 COVENTRY LN SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985120494",
            "telephone_number": "913-653-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 COVENTRY LN SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985120494",
            "telephone_number": "913-653-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "MAGGIE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61090868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WDL16B4J553B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Renea Anderson, LMP
• Robbi Doran Anderson, RN BSN
• Robert Anderson, RPH
• Andrew J Kapust DDS PS
• Amy Andrews, LMT
• Carrie Lynn Anguiano, LMP
• Abigail Annan
• Anthony Rodriguez DC PLLC
• Apple Physical Therapy LLC
• Alina Arana

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.