Lifecare Therapeutic Massage and Health Clinic

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00013010 Issued in WA

Legal business name

LIFECARE THERAPEUTIC MASSAGE AND HEALTH CLINIC

Practice address

7981 168TH Ave NE
Ste 140
Redmond, WA 98052

Phone

(425) 861-4600

NPI assigned

Oct 4, 2012

Organization subpart

No

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

Authorized official

Name

Mr. William Tim Kelley, LMP

Title

Owner/Sr. Therapist

Phone

(425) 861-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1659623445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE",
            "address_2": "STE 140",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-861-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE",
            "address_2": "STE 140",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-861-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE THERAPEUTIC MASSAGE AND HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TIM",
        "authorized_official_title_or_position": "OWNER/SR. THERAPIST",
        "authorized_official_telephone_number": "425-861-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.