Premier Massage Staffing Agency, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

601697397 Issued in WA

Legal business name

PREMIER MASSAGE STAFFING AGENCY, INC

Practice address

15321 45TH Ave NW
Gig Harbor, WA 98332-8016

Phone

(253) 514-3122

Fax

(253) 857-4900

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

Christy J Burdyshaw, LMPNPI 1922230408

Title

Owner, Director, LMP

Phone

(253) 514-3122

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Christy J Burdyshaw

  • Massage Therapist
  • Gig Harbor, WA
  • NPI 1922230408
  NPD (past) Authorized official

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1568872893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15321 45TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328016",
            "telephone_number": "253-514-3122",
            "fax_number": "253-857-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 45TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328016",
            "telephone_number": "253-514-3122",
            "fax_number": "253-857-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MASSAGE STAFFING AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "BURDYSHAW",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, LMP",
        "authorized_official_telephone_number": "253-514-3122",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "601697397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1922230408",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Porter, AU.D.
• Cory James Power, LMT
• Penelope Power, L.M.P.
• Douglas Craig Pratt, PHARMD
• Preferred Orthotic and Prosthetic Services Inc
• Rheta Isabel Preston
• Justine Jordan Priess, D.D.S.
• Matthew Jeffrey Priess, DDS
• Prime Surgery Center PLLC
• Pro Sport and Spine PLLC

• Massage Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.