Active NPI
Brianna E Haller, LMP
- Massage Therapist
- Centralia, WA
National Provider Identifier
1568697761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAOOO60057704
- Practice address
- 1800 Cooks Hill Rd Ste a
Centralia, WA 98531-9072 - Phone
- (360) 736-2853
- Fax
- (360) 736-4159
- NPI assigned
- May 18, 2009
- Last updated
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAOOO60057704 | WA | Primary |
Addresses
Primary practice location
1800 Cooks Hill Rd Ste a
Centralia, WA 98531-9072
Mailing address
1800 Cooks Hill Rd Ste a
Centralia, WA 98531-9072
Phone (360) 736-2853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAOOO60057704 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1568697761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COOKS HILL RD STE A",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319072",
"telephone_number": "360-736-2853",
"fax_number": "360-736-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 COOKS HILL RD STE A",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319072",
"telephone_number": "360-736-2853",
"fax_number": "360-736-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "BRIANNA",
"middle_name": "E",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MAOOO60057704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
- Thomas Franklin Guy II
- Kristine R Guyette, RN
- Hannah Elise Haby, PHARMD
- Alana Corinne Salloom Hall, AAC, CPC
- Megan Elizabeth Hall
- Halls Drug Center Inc (Halls Long Term Care Pharmacy)
- Halls Drug Center Inc (Halls Medical Center Pharmacy)
- Halls Drug Center Inc (South Tower Pharmacy)
- Halls Drug Center Inc (Halls Mobility Center)
- Halls Drug Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.