Makenzie Maurice

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MAKENZIE MAURICE

Doing business as

Sunrise Stretch Massage

Practice address

22566 SW Washington St Ste 211
Sherwood, OR 97140-7923

Phone

(503) 884-3246

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Makenzie Maurice, LMTNPI 1669089579

Title

Owner

Phone

(503) 884-3246

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Stretch Massage Doing business as

Locations

Practitioners 1

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

• Makenzie Maurice, LMT

  • Massage Therapist
  • Sherwood, OR
  • NPI 1669089579
  NPD Authorized official

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1568134658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22299 SW DEWEY DR",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408256",
            "telephone_number": "503-884-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22566 SW WASHINGTON ST STE 211",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971407923",
            "telephone_number": "503-884-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKENZIE MAURICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "MAURICE",
        "authorized_official_first_name": "MAKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-884-3246",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Stretch Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dean Ryan Longfellow, PSY.D.
• Blake Lowe, LMT
• Emily E Luis, D.P.T.
• Leatha Lorine Lynch, RPH, PHARMD
• Douglas Lytz
• Nisreen Malik
• Jenna Mandzuk, L.AC.
• Deborah A Marinos
• Katlyn Marquess, LAC
• Bridget C Martin, MD

• Massage Therapist in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.