Organization Active NPI

Elite Chiropractic and Massage, PLLC

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1578837712
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60025064 Issued in WA
Legal business name
ELITE CHIROPRACTIC AND MASSAGE, PLLC
Practice address
8131 W Klamath CT
Ste H
Kennewick, WA 99336-5099
Phone
(509) 736-5456
Fax
(509) 735-9868
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Marc B. Brown, DC
Title
Co-Partner
Phone
(509) 736-5456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60025064 WA Primary

Addresses

Primary practice location

8131 W Klamath CT
Ste H
Kennewick, WA 99336-5099

Mailing address

8131 W Klamath CT
Ste H
Kennewick, WA 99336-5099
Phone (509) 736-5456

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1578837712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 W KLAMATH CT",
            "address_2": "STE H",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365099",
            "telephone_number": "509-736-5456",
            "fax_number": "509-735-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W KLAMATH CT",
            "address_2": "STE H",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365099",
            "telephone_number": "509-736-5456",
            "fax_number": "509-735-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC AND MASSAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CO-PARTNER",
        "authorized_official_telephone_number": "509-736-5456",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60025064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.