Georgia Renae Loosier

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023633 Issued in WA

Practice address

14017 N Newport Hwy Ste C
Mead, WA 99021-9203

Phone

(509) 939-1761

NPI assigned

Aug 17, 2007

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1679766109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14017 N NEWPORT HWY STE C",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219203",
            "telephone_number": "509-939-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14017 N NEWPORT HWY STE C",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219203",
            "telephone_number": "509-939-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSIER",
        "first_name": "GEORGIA",
        "middle_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Hannah, DC
• Tess Ashley Hart, RDH
• Hilltop Occupational Therapy PLLC (Hilltop OT)
• Christy L Kennedy, PHLEBOTOMY MANAGER
• Rebekka Kuzichev, DC
• Amy Lynne Love, RN
• Tammy M Marsden, ARNP
• Mead Adult Family Home, LLC
• Mead School District
• Bruce Andrew Nichols, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.