Active NPI
George C Waldref
- Massage Therapist
- Spokane, WA
National Provider Identifier
1568916807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 20 E Glass Ave
Spokane, WA 99207-1810 - Phone
- (509) 327-2129
- Fax
- (509) 327-2129
- NPI assigned
- Aug 3, 2016
- Sex
- Male
- 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 | WA | Primary |
Addresses
Primary practice location
20 E Glass Ave
Spokane, WA 99207-1810
Mailing address
20 E Glass Ave
Spokane, WA 99207-1810
Phone (509) 327-2129
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
- Credentials
- Master of Theology
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark WM Houk ,D.C. P.S. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1568916807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E GLASS AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071810",
"telephone_number": "509-327-2129",
"fax_number": "509-327-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E GLASS AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071810",
"telephone_number": "509-327-2129",
"fax_number": "509-327-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDREF",
"first_name": "GEORGE",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Cassidy Walchak Sloan
- Frank Robert Walchak, M.D.
- Ammon Benjamin Walden
- Christina Marie Walden, LCSW
- Skye Lorrine Walden, MA, LMHCA
- Walgreen Co (Walgreens #15643)
- Walgreen Co (Walgreens #02205)
- Walgreen Co (Walgreens #10946)
- Walgreen Co (Walgreens #07034)
- Walgreen Co (Walgreens Specialty Pharmacy #21243)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.