Organization Active NPI

Olympia Neuromuscular Massage Therapy Inc. PS

  • Massage Therapist
  • Tumwater, WA
National Provider Identifier
1598829467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015201 Issued in WA
Legal business name
OLYMPIA NEUROMUSCULAR MASSAGE THERAPY INC. PS
Practice address
413 Bates St SE
Tumwater, WA 98501-4055
Phone
(360) 956-0599
Fax
(360) 705-2708
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ted Hulbert
Title
Owner
Phone
(360) 956-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00015201 WA Primary

Addresses

Primary practice location

413 Bates St SE
Tumwater, WA 98501-4055

Mailing address

9110 Littlerock Rd SW
Olympia, WA 98512-8536
Phone (360) 789-8446

Other names 1

  • Tumwater Massage clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Olympia Neuromuscular Massage Therapy Inc PS5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

413 Bates St SE
Tumwater, WA 98501
Phone (360) 956-0599

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598829467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 LITTLEROCK RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985128536",
            "telephone_number": "360-789-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BATES ST SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014055",
            "telephone_number": "360-956-0599",
            "fax_number": "360-705-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA NEUROMUSCULAR MASSAGE THERAPY INC. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULBERT",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-956-0599"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tumwater Massage clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.