Montesano Spa Works and Massage, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MONTESANO SPA WORKS AND MASSAGE, LLC

Practice address

120 S Main St
Montesano, WA 98563-3709

Phone

(360) 249-2097

Fax

(360) 249-2591

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Kaye Johnson, LMP

Title

Co-Owner

Phone

(360) 249-2097

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.

• Sandra Jean Bowe, LMP

  • Massage Therapist
  • Montesano, WA
  • NPI 1285730317
  NPD (past)
• Cynthia Kaye Phillips-Johnson, RN, AGNP

  • Adult Health Nurse Practitioner
  • Wasilla, AK
  • NPI 1952407090
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609082767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985630828",
            "telephone_number": "360-249-2097",
            "fax_number": "360-249-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633709",
            "telephone_number": "360-249-2097",
            "fax_number": "360-249-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTESANO SPA WORKS AND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-249-2097",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Renee Miles, LICSW
• Judith J Miller, ARNP
• Montesano Internal Medicine, PS
• Montesano Physical Therapy Inc.
• Montesano School District
• Montesano Vision Center PLLC
• Kendra Alexis Morscheck, DPT
• Natures Way Chiropractic, Inc
• Carmen Noguer, LMT
• Taylor Ashley Osborne, NP

• Specialist in Montesano, WA
• Providers in Montesano, WA by specialty
• Specialist in Washington

• 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.