Active NPI
Christina Henderson, LMP
- Massage Therapist
- Kennewick, WA
National Provider Identifier
1619273315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60205710
- Practice address
- 8514 W Gage Blvd Ste F29
Kennewick, WA 99336-8108 - Phone
- (704) 451-6069
- NPI assigned
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60205710 | WA | Primary |
Addresses
Primary practice location
8514 W Gage Blvd Ste F29
Kennewick, WA 99336-8108
Mailing address
8514 W Gage Blvd Ste F29
Kennewick, WA 99336-8108
Phone (704) 451-6069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0274679 | Other | WA | L & I |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60205710 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307145600000",
"number": "1619273315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 W GAGE BLVD STE F29",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368108",
"telephone_number": "704-451-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8514 W GAGE BLVD STE F29",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368108",
"telephone_number": "704-451-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CHRISTINA",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60205710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0274679",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.