David Osborne, ATC, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00020101 Issued in WA

Practice address

1256 SE Bishop Blvd Ste J
Pullman, WA 99163-5414

Phone

(509) 432-6506

NPI assigned

Apr 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1609119320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 SE BISHOP BLVD STE J",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635414",
            "telephone_number": "509-432-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 SE BISHOP BLVD STE J",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635414",
            "telephone_number": "509-432-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "DAVID",
        "credential": "ATC, LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160292732",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Odumah
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• Kathleen Mary Ojeda, ND, LM, CPM
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• Zachary Orem
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• Palouse ENT, LLC
• Palouse Foot & Ankle Clinic PS
• Palouse Medical PS

• Massage Therapist in Pullman, WA
• Providers in Pullman, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.