Organization Active NPI

Heavy Weights, Light Feels

  • Massage Therapist
  • Burlington, WA
National Provider Identifier
1679127724
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HEAVY WEIGHTS, LIGHT FEELS
Practice address
121 S Spruce St
Burlington, WA 98233-1718
Phone
(903) 283-3410
NPI assigned
Jul 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Authorized official

Name
Mr. Andrew Lauridsen, LMT
Title
Ceo
Phone
(903) 283-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

121 S Spruce St
Burlington, WA 98233-1718

Mailing address

PO Box 397
Burlington, WA 98233-0397
Phone (903) 283-3410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564185600000",
    "number": "1679127724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982330397",
            "telephone_number": "903-283-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S SPRUCE ST",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331718",
            "telephone_number": "903-283-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVY WEIGHTS, LIGHT FEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A",
        "authorized_official_last_name": "LAURIDSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-283-3410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.