Individual provider Active NPI

Marrisa Lindsey Bissonnette, LMT, CR

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1609006774
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60042660 Issued in WA
Practice address
605 Barnes St Ste 204
Vancouver, WA 98661-3833
Phone
(360) 356-2906
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60042660 WA Primary

Addresses

Primary practice location

605 Barnes St Ste 204
Vancouver, WA 98661-3833

Mailing address

605 Barnes St Ste 204
Vancouver, WA 98661-3833
Phone (360) 356-2906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60042660WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Olsen MD Washington PC PastSince Sep 12, 2025 Accepting new patients
Amanda Hall, LMP Massage Therapist PastSince Apr 14, 2024 Accepting new patients
Body in Balance Chiropractic and Wellness Center Massage Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1609006774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BARNES ST STE 204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613833",
            "telephone_number": "360-356-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BARNES ST STE 204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613833",
            "telephone_number": "360-356-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSONNETTE",
        "first_name": "MARRISA",
        "middle_name": "LINDSEY",
        "credential": "LMT, CR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60042660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.