Anjelica Reyna Mora, MA61118530

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61118530 Issued in WA

Practice address

3908 Creekside Loop Ste 110
Yakima, WA 98902-4858

Phone

(509) 985-0714

Fax

(509) 248-5356

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anjelica Reyna Former name

Electronic endpoints 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.

• Muscle Release Medical Massage, LLC

  • Massage Therapist
  • Yakima, WA
  • NPI 1891175808
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1639769938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 CREEKSIDE LOOP STE 110",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024858",
            "telephone_number": "509-985-0714",
            "fax_number": "509-248-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 CREEKSIDE LOOP STE 110",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024858",
            "telephone_number": "509-985-0714",
            "fax_number": "509-248-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA MORA",
        "first_name": "ANJELICA",
        "credential": "MA61118530",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61118530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@muscle-release.com",
            "affiliation": "Y",
            "endpointDescription": "Work",
            "affiliationName": "Muscle Release Medical Massage, LLC",
            "address_1": "3908 Creekside Loop Ste 110",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989024858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANJELICA",
            "last_name": "REYNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesus Adolfo Reyes, SPANISH INTERPRETER
• Leopoldo Reyes Jr., CDP
• Martha Dalia Reyes, COUNSELOR
• Nicole Reyes, LMP
• Noemi Reyes
• Sergio Reyna II, PHARMD
• Brian T Reynolds, M.D.
• Emily Lynn Reynolds, RDN
• Jeffrey R. Reynolds, M.D.
• Rheumatology Northwest, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.