Maria Galvan Perez I, MASSAGE THERAPY

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60898187 Issued in WA

Practice address

3910 196TH St SW Ste E
Lynnwood, WA 98036-5770

Phone

(425) 399-3345

NPI assigned

Nov 8, 2018

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

Other names 1

• Ms. Maria Galvan Perez Former name

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1578031332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16627 36TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377003",
            "telephone_number": "425-399-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 196TH ST SW STE E",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365770",
            "telephone_number": "425-399-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN PEREZ",
        "first_name": "MARIA",
        "name_suffix": "I",
        "credential": "MASSAGE THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60898187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENCE",
            "identifier": "60898187",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "GALVAN PEREZ",
            "prefix": "MS.",
            "credential": "MSSAGE THERAPY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.