Mobile Massage Pro PLLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOBILE MASSAGE PRO PLLC

Practice address

21407 W Baker Rd
Cheney, WA 99004-9160

Phone

(253) 327-8719

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Liddle II, LMTNPI 1316412604

Title

Owner/ Therapist

Phone

(360) 605-0680

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Liddle II, LMT

  • Massage Therapist
  • University Place, WA
  • NPI 1316412604
  NPD Authorized official

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1679295679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21407 W BAKER RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049160",
            "telephone_number": "253-327-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21407 W BAKER RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049160",
            "telephone_number": "253-327-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MASSAGE PRO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "LIDDLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "360-605-0680",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mending Families
• Veronica R Messing, MS, LMHC
• Brittany Meyer
• Julian Michel
• Bekka Grace Milender
• Ann-Marie Monson, D.M.D.
• April Montney-Codr, M.A., CCC-SLP
• Marion Moore, PH,D., BCBA-D
• Isaiah Morales
• Ryan Moreau

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.