The Massage Clinic, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00011996 Issued in WA

Legal business name

THE MASSAGE CLINIC, INC.

Practice address

1515 Pacific Ave
B-1
Everett, WA 98201-4001

Phone

(425) 258-5454

Fax

(425) 258-1967

NPI assigned

Jul 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. J. Dale Newman, LMP

Title

President

Phone

(425) 258-5454

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Dale Newman, LMP

  • Massage Therapist
  • Everett, WA
  • NPI 1912076308
  NPD (past)
• Kim A Weeks-Newman, LMP

  • Massage Therapist
  • Everett, WA
  • NPI 1588733976
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669670105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PACIFIC AVE",
            "address_2": "B-1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014001",
            "telephone_number": "425-258-5454",
            "fax_number": "425-258-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PACIFIC AVE",
            "address_2": "B-1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014001",
            "telephone_number": "425-258-5454",
            "fax_number": "425-258-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MASSAGE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-258-5454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Bartell Drug Co (Bartell Drugs)
• The Bartell Drug Co (Bartell Drugs #48)
• The Behavior Business LLC
• The Hearing Center, P.S. (Michael's Hearing Center)
• The Lactation Network, LLC
• The Terrace at Beverly Lake MC GR, LLC (Terrace at Beverly Lake)
• Heidi Joy Laura Theisen, BA
• Jodi Ann Thelen, LMHC
• Theodore Mausshardt Inc
• Therageek Counseling Services (Therageek Counseling)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.