Active NPI
Erin Childs, LMT, MMP
- Massage Therapist
- Issaquah, WA
National Provider Identifier
1669645693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA10429
- Practice address
- 545 Rainier Blvd N Ste 18
Issaquah, WA 98027-2806 - Phone
- (206) 713-7183
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA10429 | WA | Primary |
Addresses
Primary practice location
545 Rainier Blvd N Ste 18
Issaquah, WA 98027-2806
Mailing address
20231 SE 152ND St
Renton, WA 98059-8214
Phone (206) 713-7183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA10429 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1669645693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20231 SE 152ND ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980598214",
"telephone_number": "206-713-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 RAINIER BLVD N STE 18",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272806",
"telephone_number": "206-713-7183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "ERIN",
"credential": "LMT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA10429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.