Constance S Fulk, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00018056 Issued in WA

Practice address

2821 E 27TH Ave
Spokane, WA 99223-4914

Phone

(509) 532-8607

NPI assigned

Sep 18, 2007

Last updated

Sep 25, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunny Buns Massage Therapy

  • Massage Therapist
  • Spokane, WA
  • NPI 1114112208
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1578759155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 E 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025325",
            "telephone_number": "509-532-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E 27TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234914",
            "telephone_number": "509-532-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULK",
        "first_name": "CONSTANCE",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia S Fuhrman, M.D.
• Bryan Edward Fuhs, MD, FACC
• Keishi Fujii, D.D.S.
• Makoto Fujisaki
• Brent Fukushima, SRNA
• Full Circle Therapy PLLC (Full Circle Therapy)
• Aayiana Fuller
• Bailey Rae Fuller
• Candice Fuller, PHARM.D, BCCP
• Carson Fuller, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.