NPIMap

Organization Active NPI

Monroe Therapeutic Massage PS

  • Massage Therapist
  • Kent, WA
National Provider Identifier
1659560381
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MONROE THERAPEUTIC MASSAGE PS
Practice address
124 4TH Ave S
Suite 250
Kent, WA 98032-5879
Phone
(253) 854-5500
Fax
(253) 854-4098
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Glyn Desmond, LMP
Title
President
Phone
(425) 802-1382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

124 4TH Ave S
Suite 250
Kent, WA 98032-5879

Mailing address

124 4TH Ave S
Suite 250
Kent, WA 98032-5879
Phone (253) 854-5500

National Provider Directory

National Provider Directory
Tax ID family
Monroe Therapeutic Massage PS11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

124 4th Ave S
Ste 250
Kent, WA 98032
Phone (253) 682-9114

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1659560381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S",
            "address_2": "SUITE 250",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325879",
            "telephone_number": "253-854-5500",
            "fax_number": "253-854-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S",
            "address_2": "SUITE 250",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325879",
            "telephone_number": "253-854-5500",
            "fax_number": "253-854-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE THERAPEUTIC MASSAGE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "GLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-802-1382",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.