Organization Active NPI

Vetiver Therapies

  • Specialist
  • Seattle, WA
National Provider Identifier
1588923635
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 60179301 Issued in WA
Legal business name
VETIVER THERAPIES
Practice address
5424 Ballard Avenue NW
Suite 103
Seattle, WA 98107
Phone
(802) 989-3389
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Miss Jill L Jurkowski, LMP
Title
Licensed Massage Therapist
Phone
(802) 989-3389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA 60179301 WA Primary

Addresses

Primary practice location

5424 Ballard Avenue NW
Suite 103
Seattle, WA 98107

Mailing address

5424 Ballard Avenue NW
Suite 103
Seattle, WA 98107
Phone (802) 989-3389

National Provider Directory

National Provider Directory

Locations

5424 Ballard Ave NW
Ste 103
Seattle, WA 98107
Phone (802) 989-3389

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1588923635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 BALLARD AVENUE NW",
            "address_2": "SUITE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "802-989-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 BALLARD AVENUE NW",
            "address_2": "SUITE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "802-989-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETIVER THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "JURKOWSKI",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "802-989-3389",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60179301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.