NPIMap

Organization Active NPI

Healing Touch

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1679956767
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60290799 Issued in WA
Legal business name
HEALING TOUCH
Practice address
11300 NE Fourth Plain Blvd
Vancouver, WA 98662-5767
Phone
(360) 931-8054
Fax
(360) 433-9640
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Mr. Leonid M Potryasov, MA60290799NPI 1043550866
Title
Owner
Phone
(360) 931-8054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60290799 WA Primary

Addresses

Primary practice location

11300 NE Fourth Plain Blvd
Vancouver, WA 98662-5767

Mailing address

11300 NE Fourth Plain Blvd
Vancouver, WA 98662-5767
Phone (360) 931-8054

National Provider Directory

National Provider Directory

Locations

11300 NE Fourth Plain Blvd
Vancouver, WA 98662
Phone (360) 931-8054

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1679956767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NE FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625767",
            "telephone_number": "360-931-8054",
            "fax_number": "360-433-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NE FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625767",
            "telephone_number": "360-931-8054",
            "fax_number": "360-433-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TOUCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "POTRYASOV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-931-8054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA60290799"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60290799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.