Gina Tynan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00009168 Issued in WA

Practice address

604 W 4TH Ave
Suite B
Toppenish, WA 98948-1673

Phone

(509) 865-5636

Fax

(509) 865-2053

NPI assigned

Apr 19, 2007

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659598787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 VINTAGE RD",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539612",
            "telephone_number": "509-865-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W 4TH AVE",
            "address_2": "SUITE B",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481673",
            "telephone_number": "509-865-5636",
            "fax_number": "509-865-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNAN",
        "first_name": "GINA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5636TY",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0193553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toppenish Chiropractic Clinic PS
• Toppenish Chiropractic Clinic, PS
• Toppenish Physical Therapy Rehabilitation Center, Inc., P.S.
• Nathan O. Town, MT(ASCP)
• Trebor Services LLC
• Johanna Marie Umtuch, SUDPT
• Diego Upegui
• Maria Valencia, MSW
• Valle Bajo Interpreter Services
• Valley Practitioners PS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.