Sarah Rachel McCullough, MA60135663

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60135663 Issued in WA

Practice address

3700 Martin Way E Ste 108
Olympia, WA 98506-5052

Phone

(360) 561-0171

Fax

(360) 915-7857

NPI assigned

Dec 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Derrick Family Chiropractic, Inc.

  • Chiropractor
  • Olympia, WA
  • NPI 1891014411
  NPD (past)
• Sweet Chiropractic Inc PS

  • Clinic/Center
  • Olympia, WA
  • NPI 1811291065
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1609346758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065052",
            "telephone_number": "360-491-9135",
            "fax_number": "360-923-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 MARTIN WAY E STE 108",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065052",
            "telephone_number": "360-561-0171",
            "fax_number": "360-915-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "SARAH",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "MA60135663",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60135663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMTA",
            "identifier": "1560016",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Gabrielle McCown
• Carol Jean McCulloch, RPH
• Edward Francis McCullough, D.C.
• Lisa McCullough, D.C.
• Madelaine Cathleen McCullough, PA-C
• Deana Marie McCusker
• Crystal Shanell McDaneld
• Alyssa McDaniel, ARNP
• McDonald Dentistry
• Michelle Catherine McDonald-Lopez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.