Mitchell Hettinger, LMT,MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60868060 Issued in WA

Practice address

4800 Jackson Ave SE Ste 104
Port Orchard, WA 98366-1109

Phone

(206) 954-5954

NPI assigned

Sep 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Under the Sun Massage PLLC

  • Massage Therapist
  • Port Orchard, WA
  • NPI 1568169100
  NPD

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1679241970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 JACKSON AVE SE STE 104",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661109",
            "telephone_number": "206-954-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 JACKSON AVE SE STE 104",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661109",
            "telephone_number": "206-954-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTINGER",
        "first_name": "MITCHELL",
        "credential": "LMT,MMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-02-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60868060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myanna Emma-Leigh Henke
• Kyle Henningsgard
• Zane Tayler Henstra, CPHT
• Barbara T Hepfer, ARNP
• Timothy P Heran, RDN, CGD, CD
• Aman Chavez Hidalgo Watson
• Lauren Alexandra Hight, CDPT
• Kim Christine Hilderbrandt, MA SLP-CCC
• Diedre Snow Hill
• Janelle Allison Hill, LMP

• Massage Therapist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.