Imprint Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

603131607 Issued in WA

Legal business name

IMPRINT MASSAGE

Practice address

4130 1St Ave S
Ste 110
Seattle, WA 98134-2302

Phone

(206) 467-4858

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Julie Ann Allred Schroader, LMP

Title

Owner, Massage Therapist

Phone

(206) 467-4858

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Jane Keith, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1053687624
  NPD (past)

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1629344700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 1ST AVE S",
            "address_2": "STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342302",
            "telephone_number": "206-467-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 1ST AVE S",
            "address_2": "STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342302",
            "telephone_number": "206-467-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRINT MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "ALLRED SCHROADER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, MASSAGE THERAPIST",
        "authorized_official_telephone_number": "206-467-4858",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "603131607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.