Organization Active NPI

Sound Wellness Massage, LLC

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1598022527
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Christina M Dederer, LMP
Title
Manager
Phone
(206) 661-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60226311 WA Primary

Addresses

Primary practice location

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

Mailing address

3417 Evanston Ave N Ste 227
Seattle, WA 98103-8686
Phone (206) 661-2360

National Provider Directory

National Provider Directory

Locations

3417 Evanston Ave N
Ste 227
Seattle, WA 98103
Phone (206) 661-2360

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": "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": []
}

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 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.