Sound Wellness Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60226311 Issued in WA

Legal business name

SOUND WELLNESS MASSAGE, LLC

Practice address

3417 Evanston Ave N Ste 227
Seattle, WA 98103-8686

Phone

(206) 661-2360

NPI assigned

Apr 16, 2012

Last updated

Nov 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina M Dederer, LMPNPI 1265718480

Title

Manager

Phone

(206) 661-2360

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Marie Dederer, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1265718480
  Authorized official Same address or phone
• Paul S Hood, MA60322523

  • Massage Therapist
  • Seattle, WA
  • NPI 1063878320
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1598022527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 227",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038686",
            "telephone_number": "206-661-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 227",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038686",
            "telephone_number": "206-661-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND WELLNESS MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "DEDERER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-661-2360",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60226311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Spine and Joint Physicians, PLLC (Sound Spine and Joint)
• Sound Sports Performance and Rehab
• Sound Telehealth, PLLC
• Sound View Women's Health and Wellness
• Sound Voices Pediatrics, LLC
• Michael C Soung
• Sarah Soung, M.D.
• Zheryl Baldonado Sounthala, ARNP
• Taylor Sourelos, SLP
• Parham Souri

• Massage Therapist in Seattle, WA
• Providers in Seattle, 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 26, 2014; 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.