Active NPI
Rebecca Ewing, LMT
- Massage Therapist
- Colfax, WA
National Provider Identifier
1679140271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61161240
- Practice address
- 202 S Mill St
Colfax, WA 99111-1830 - Phone
- (360) 265-9194
- NPI assigned
- Jun 10, 2021
- Last updated
- Jun 10, 2021
- 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 | MA61161240 | WA | Primary |
Addresses
Primary practice location
202 S Mill St
Colfax, WA 99111-1830
Mailing address
3202 S Palouse River Rd
Colfax, WA 99111-9418
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 |
|---|---|---|---|
| MA61161240 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1679140271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 S PALOUSE RIVER RD",
"city": "COLFAX",
"state": "WA",
"postal_code": "991119418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S MILL ST",
"city": "COLFAX",
"state": "WA",
"postal_code": "991111830",
"telephone_number": "360-265-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "REBECCA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61161240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colfax, WA
- Deacon's Medical Equipment
- Dr Healthy Foot PLLC
- Bradyn Reis Ellis, DDS
- Elizabeth Breanna Evangelista, MD
- Evergreen Washington Healthcare Whitman, L.L.C. (Whitman Health and Rehabilitation Center)
- Sarah L Fielding, MD
- Frances Wagner Counseling, LLC
- Harold Graeme French, M.D.
- Elida Golob, PT
- Carmen Gwinn, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.